The Vernon County Health Department has confirmed the fifth positive case of novel coronavirus (COVID-19). This resident is under quarantine at home. This case is related to exposure to a positive case out of state.

According to a press release from the health department, "This case is asymptomatic. Vernon County Health Department staff has identified and contacted any individual that may have come in close contact with the case which may have put them at risk and will monitor them for any signs and symptoms of illness."

"Individuals should continue to practice social distancing, clean/disinfect any high touched surfaces, wash their hands with soap and water routinely, use hand sanitizer if soap and water is not available and avoid touching your face (especially eyes, nose and mouth)."

"As always, if you are having symptoms and feel you need to be evaluated, call your primary care provider or local urgent care."

CALL before going to a clinic, urgent care, or ER if you feel you need to be evaluated.

Close contact means six feet or less for 10 minutes or more with a positive case.

In their weekly scheduled conference call Wednesday morning, community leaders and partners gave updates on meaures being taken in response to the COVID-19 pandemic.

Vernon County Health Department

The Vernon County Health Department gave a brief update on cases of COVID-19 in the community. “We still just have the three cases, and actually we talked to their provider this morning. They have recovered and all three have been released from isolation,” stated a representative with the health department.

Editor's Note: After the conference call, the Vernon County Health Department released that there has been an additional confirmed case of COVID-19 in the county as of Wednesday. This brings the total number of confirmed cases to four, with three of those being recovered.

Nevada Regional Medical Center

“We've done about 100 tests and we've had the two positives,” stated Nevada Regional Medical Center C.E.O Steve Branstetter. Those positive cases were two of the three the Vernon County Health Department had reported. “We've had about 98 negatives,” continued Branstetter. “We are adjusting to having a surge plan and then having a kind of reopening plan. We've been talking about getting our business back up with elective procedures, surgeries, and that type of stuff. We're not they're yet. We're kind of following the guidelines with phase 1.” NRMC has recently loosened up their visitor policy, now allowing one visitor per day, per patient.

Heartland Behavioral Health Services

“We've had no positive tests as of today,” stated Heartland Behavioral Health Services C.E.O Alyson Harder. “We currently don't have any of our patients in isolation or the negative pressure rooms. We're looking to potentially find ways to increase patient load while still trying to closely manage and monitor potential risk. One of the things we are asking for from the state is continued feedback on the potential for a rapid response testing possibility. Since we're considered more of a long-term treatment care option, (we have the propensity for a large volume of patients and employees being affected very quickly), we are hoping that the state of Missouri will have those available.”

After the healthcare providers gave their updates, Interim City Manager Mark Mitchell noted the state had mentioned that they had machines that would do a 20 minute test. “Have you heard any word from the state level whether Vernon County will receive those or not?” Mitchell asked the providers. Branstetter and Harder both stated they had not heard any word on the machines, but they would have a call with the governor later in the afternoon and they may know more by then. “That's one of my questions as well,” stated Harder. “One of the things that they're indicating is that not necessarily Vernon County by county would get it, but it would be maybe potentially regionally located where a team could be sent to a long-term care facility or a hospital environment where there is more communal living to do those. That's my understanding.” Emergency Management Director Derik White echoed this. “From my governor's call yesterday I was on, the way it sounds is that it will be centrally located from a region or certain area,” he stated. “Then, they will have teams that can be dispatched if they think they have a case in our area to help isolate that area.”

Vernon County Commission

“The order that the Vernon County Health Department, County Commission, and the City currently has in place expires this Saturday morning at 12:01 a.m.,” stated Presiding Commissioner Joe Hardin. “The feeling that I get from Mr. Durnell (Steve Durnell, Administrator with the Vernon County Health Department) — and I'm going to support him as our health leader in his decisions — at this point he is more than likely going to let our order expire and simply follow the guidelines of the state of Missouri at this time. As of yesterday afternoon (Tuesday) when he and I last spoke, that is the direction in which he and his board members are leaning.”

On the state level, Hardin spoke to Rep. Patricia Pike Tuesday evening, as well as Wednesday morning. “We all know that the 2021 budget is going to be very slim,” Hardin stated. “They're already prepping us for that. The state is anticipating about $1 billion loss of income this year and that will affect some of our districts and all of our taxing entities. They plan on having some special sessions next year and, for lack of a better term, rat holing some federal funds to offset and rebuild the budget going into 2022. So they're looking 18 months, at least, in advance which you have to do.”

In addition, Hardin went on to state, “This will come out more officially later and it is subject to change at the governor's request or order, but Vernon County is scheduled to get $2.4 million worth of funding to help with COVID-19 relief. The way it was worded to me through representative was that is going to be for taxing entities. Those payments will start coming on May 4, so I'm trying to get ahead of it a little bit.” Hardin stated there were still some questions needing to be answered in regards to reimbursing non-taxing entities for their efforts in COVID-19 relief, as well as what kind of requests can be made. Some of these questions, according to Hardin, could hopefully be answered during a call with the treasurer's office later that afternoon.

Emergency Management

Emergency Management Director Derik White stated the only update he has at this time is that they are still waiting on masks and the state is still trying to get some in. “All the masks that we had ordered statewide, all the money was refunded back to the state,” noted White. “They are in the process of getting those masks delivered as soon as they get them.”

City of Nevada

“We put together a plan, but we're holding that back to see what the governor will do,” stated Mitchell. “I figured that he would have some direction given to our communities by now, but I think they're going to plan ahead for that. So, we're holding our plan off on how to reopen until we see what the governor has in store for us and we will follow his plan. With that being said, there is a huge push from the community to get back to the way we were. I caution everyone on that. We're not out of the woods and I just want all the community leaders to know that we need to work together to make sure we keep our community safe. I know on behalf of the mayor and the city council, that's their desire as well.” Hardin echoed this sentiment as well. “Even though the health department's order is maybe going to expire, we can put that back in place at any given time if we let it expire,” Hardin noted. “We are not out of the woods and I hope that we're all aware of that. There is a push to get back to what we think will be normal, though there will never be a normal like what we had before.”

Nevada/Vernon County Chamber of Commerce

“I found a great 'frequently asked questions' for guidance because I'm getting a lot of phone calls from businesses about the county order expiring and what that pertains to,” stated Chamber Director Sheree Gayman. “I found a great site on the governor's webpage that really depicts all the questions that I'm being asked by the businesses and I'm putting that together in an email to send out as soon as I know whether or not the county order is going to expire. That way people know exactly what the governor's orders states.”

Nevada Housing Authority

“We will continue to approach cautiously as we look to make changes based on the state order,” stated Nevada Housing Authority Director Carol Branham. “We are still getting lots of applications from people outside this area. We are still on a 'no visitor' policy within our units. We have to continue to control to protect the 200 units and our tenants, as well as our staff. We will follow the orders, but we may put in place some phasing as we move forward.”

On My Own, Inc.

“We are still being restricted from the state in terms of how we are to operate, so our office is still closed to the public unless it's by appointment,” stated On My Own, Inc. Executive Director Jennifer Gundy. “Our In-Home services we are still operating and going into the homes, but other programs, groups, and classes and things like that are still on hold until further notice.” The restrictions Gundy mentioned have to do with the state contract that On My Own, Inc. has for their Medicaid programs from Department of Health and Senior Services for Consumer Directed Services and In-Home services, as well as Vocational Rehabilitation with their Center for Independent Living. Touching on what these restrictions include, Gundy noted, “We are to limit our face-to-face contact if possible. So, case management services are being completed by phone. We are checking on our consumers on a regular basis to make sure they are healthy and that they don't have any needs not being met. With our In-Home program, we are still doing nursing visits and In-Home aide care. We are using PPE (personal protective equipment) and taking daily temperatures of staff.”

West Central

A representative from West Central stated, “Our Nevada office is still closed and we are still working from home at this time.”

United Way

“We are in and out of the office every day,” stated Peggy Tedlock. “People can leave messages. We've had a lot of calls to make referrals.” United Way's next board meeting will be held next Wednesday via teleconference. “I think there's a lot of people that still aren't taking it as seriously as they should be,” noted Tedlock in regards to people's response to COVID-19. “If you of anyone, they not like it, but just remind them about it. I think sometimes you get a little comfortable with it and then you forget about it. I think people are doing better.”

Osage Prairie YMCA

Jeff Snyder with the YMCA stated, “We've started conversations about what our re-entry or reopening looks like. We're getting a lot of questions because of the President's phases. Gyms are within that Phase 1, but obviously we're going to proceed very cautiously. There's still some very strict social distancing guidelines we would be expected to follow, even if we are operational. We're still trying to evaluate what our capacity is to meet those – whether it's temperature checks and those different things prior to allowing people to come in. I still believe that the 10 person guideline will be in effect. We're really kind of looking at May 4 and it will probably just be our fitness center. We could still potentially move that back as well.”

Neal Center

“We continue to deliver meals,” noted Senior Center Director Mike Parson. “We, of course, are not open to the public but we are continuing to deliver meals both to our regular customers as well as a lot of people that we picked up through the emergency services for COVID-19. To protect both our customers and our drivers, we have cut back on the number of days that we deliver. Also, each time a driver comes in to deliver we take their temperature and they have to answer a questionnaire. So, we're doing what we can to protect both the drivers and very vulnerable customers that we serve.”

Cottey College

“We are continuing to be as cautious as possible here on campus,” stated Vice President of Student Life Landon Adams. “We've pushed back some events in the summer and are currently in discussions about what our fall could look like. We've continued to limit staff and student movement on campus.”

Nevada R-5 School District

“We are just waiting to hear back from DESE (Department of Elementary and Secondary Education) as far as summer school goes and we are trying to get our plans finalized for some of our typical spring activities with graduation, prom, etc., and hope to announce some dates in the near future,” stated Nevada R-5 Superintendent Tyson Beshore.

LifeWalk

Steve Russ with LifeWalk Church gave some updates on what the church's plans are going forward. “In the faith community there's some interesting discussions on whether to meet or not and the right of a church to meet — those kinds of things. I think our group feels like we want to be the good community partner. We realize we could have 300 to 350 together at one time and there's been up in Wyandotte County these clusters from churches that started services. We don't want to be one of those, so we want to be very cautious in how we get back. We have a building we're renovating that will probably be ready at the end of May or early June that we'd like to get into, but we have an online experience that's working pretty well so we'll just take it week by week and see how it goes.”

Pine Street Baptist Church

“We've been listening to the governor on his call that he was with us on Fridays,” stated Pine Street Baptist Church Pastor Chad Bailey. “His ideal plan for the church is to be opened by the Sunday of Mother's Day, cautiously. We're trying to communicate that with the churches and we're talking together about what that looks like and how we can do that while maintaining social distancing within the church. I think most people are looking forward to getting back in church, but they also know that we have to be cautious in how we do it. We have to be very careful. Speaking in regards to the local homeless population, Bailey stated, “With shelters, I know our shelter is full. I have had an increase in phone calls for sheltering. I know this has affected that to some degree, not enormously, but I know there have been a few extra calls coming in on people looking for places to stay. For the most part, I think they are getting help. I know Ministerial Alliance has housed several transient people coming through town over the last two or three weeks, but not more than normal. It's been about the same.”

Wood's Supermarket

“We're still following the guidelines,” stated Jason Woods. “We do have some equipment for all of our employees now — masks, gloves, and those types of things if they want to wear them. We should have sneeze guards for our registers sometime this week or early next week. I think we're going to permanently have those up, so we'll be ready for whatever decisions that are made.”

KNEM/KNMO

“We're releasing information as we're getting it,” stated Owner of KNEM/KNMO Radio Station Mike Harbit.

Nevada Daily Mail

“We are doing just fine,” stated Publisher Lorie Harter. “We're prepared — of course, cautiously — to move forward. We're here for the community with any information we can disseminate.”

Vernon County Economic Development

Ben Vickers with Vernon County Economic Development stated that he is “working on business retention and expansion, as well as brainstorming new ways to revitalize the community after all this is over.”

Mitchell then closed the teleconference. “On behalf of the city council, the mayor, and our county commissioners, we want to thank all the community leaders for what you've done in the past and what you will continue to do in the future,” he stated. “As a community, I'm proud of what we have done and I'm proud of the innovation of our restaurants, businesses, our schools, and all the agencies and organizations throughout the city. I applaud each and every one of you. You're keeping our community safe, and for that I'm very grateful.”

Additional Comments – Steve Durnell

Vernon County Health Department Administrator Steve Durnell took time following the conference call to answer some of the Daily Mail's questions surrounding the possible expiration of the county stay-at-home order. “First and foremost, even if we allow our order to expire this weekend, we can and will, put it back in place if the Health Department and other community leaders feel that it is necessary to help reduce the spread of COVID-19,” stated Durnell. “This decision will be highly dependent on future positive COVID-19 cases.” Durnell went on to state, “Our local order is very similar to the governor's order. There are a few differences between our order and the governor's order, but the basic core public health principals are present in both orders. One reason, we have elected at this time to allow our order to expire, is it is difficult and confusing to try to follow two orders that are slightly different. We can have a local order as long as it is as strict as the state order, but if the state order is a workable, effective initiative that is working at our local level then it is simpler to follow one order, rather than having two we are trying to mesh together. There are many things that go along with an order. Including the safe and gradual aspect of opening the community back up. I think the Governor will begin addressing this. This is a very complicated process that involves many aspects that would take pages to explain. Just some of the factors include adequate testing availability, PPE supplies, and many other dynamics.” Durnell stressed that this is an ever-evolving situation and could change at any time. “Last Thursday, our Health Department Board met and at that time, decided it was in the county's best interest to follow the governor's order and allow ours (the county order) to expire,” noted Durnell “This order is a joint order with the Vernon County Commission, as well as with incredible support from the City of Nevada and community leaders. I have worked closely with presiding commissioner Joe Hardin and City Manager Mark Mitchell. I cannot express my appreciation of these individuals as well as many, many others. From the way our medical providers have provided us with information, with community leaders taking steps to ensure their levels of expertise are utilized and relayed to us and their audiences, to the general public doing their part in keeping us healthy and safe, to the school administration in making the incredibly difficult decisions regarding classes, and even to you (Daily Mail) for providing us a platform to keep the public informed on this pandemic.” In regards to the Vernon County Health Department staff, Durnell noted, “They have been nothing short of amazing. I put a lot of responsibilities on them, so I am very proud of our Health Department and most importantly the ladies I rely on to do our part to protect and inform the community.”

Vernon County Health Department is announcing the 4th positive case of novel coronavirus (COVID-19). This resident is under quarantine at home. This case is related to exposure to a positive case outside of Vernon County.

Health Department staff is working in coordination with the Missouri Department of Health and Senior Services (DHSS) to determine any close contacts of that individual who were possibly exposed. If there are any, health officials will provide guidance to these individuals and monitor them closely for the development of symptoms.

Through our case investigation it was found that the resident had been in Wal-Mart and Autozone in Nevada, MO. These locations are considered low risk for transmission per CDC guidelines.

The dates are as follows:

4-16-20 Autozone at approximately 11 a.m., Walmart at approximately 2 p.m.

4-17-20 Walmart at approximately 3 p.m.

4-21-20 Walmart at approximately 4 p.m.

The health department urges the public to take appropriate precautions including good hand hygiene, social distancing and limiting in-person interactions. If you are sick, particularly with a fever, dry cough, or shortness of breath, stay home and contact your health care provider or urgent care center for guidance regarding symptoms and next steps.

CALL before going to a clinic, urgent care, or ER if you feel you need to be evaluated

Close Contact means: 6 ft or less for 10 minutes or more with a positive case

Vernon County Health Department is announcing the second and third positive case of novel coronavirus (COVID-19). The case is NOT travel-related and the patients are considered close contacts to the original case.

Health Department staff is working in coordination with the Missouri Department of Health and Senior Services (DHSS) to determine any close contacts of that individual who were possibly exposed. If there were any, health officials will provide guidance to these individuals and monitor them closely for the development of symptoms.

The health department urges the public to take appropriate precautions including good hygiene, social distancing and limiting in-person interactions. If you are sick, particularly with a fever and a cough, or shortness of breath, stay home and contact your health care provider or urgent care center for guidance regarding symptoms and next steps.

“The best tips for prevention are still social distancing and proper hand washing,” said Steve Durnell, director of Vernon County Health Department. “Staying home if you are sick and avoiding close contact with others will help us limit any spread.”

Vernon County Health Department is announcing its first positive case of novel coronavirus (COVID-19).  The case is NOT travel-related and the patient is a male and is quarantined at home. 

Health Department staff are working in coordination with the Missouri Department of Health and Senior Services (DHSS) to determine any close contacts of that individual who were possibly exposed. If there were any, health officials will provide guidance to these individuals and monitor them closely for the development of symptoms. 

The health department urges the public to take appropriate precautions including good hygiene, social distancing and limiting in-person interactions. For individuals who are sick, particularly with fever and cough, or shortness of breath, stay home and contact your primary care provider for guidance regarding symptoms and next steps.

“The best tips for prevention are still social distancing and proper hand washing,” said Steve Durnell, director of Vernon County Health Department. “Staying home if you are sick and avoiding close contact with others will help us limit any spread.”

For more information, visit the DHSS website at www.health.mo.gov/coronavirus or the CDC website at www.cdc.gov/coronavirus. A statewide COVID-19 hotline also operates 24 hours a day, 7 days a week at 877-435-8411.

Note: The full "Stay Home Missouri" Order can be viewed here. For a full list of what is considered essential workforce, click here.

Important: This order takes precedence over the previously issued Vernon County order. However, according to Interim City Manager Mark Mitchell, the start dates and times of the county issued order are still in effect unless amended by the County Commission.

Building on Missouri’s efforts to control, contain, and combat COVID-19, Governor Mike Parson today issued a statewide “Stay Home Missouri” Order effective beginning at 12:01 a.m. on Monday, April 6, 2020, until 11:59 p.m. on Friday, April 24, 2020.

The Order explicitly states that individuals currently residing within the state of Missouri shall avoid leaving their homes or places of residence unless necessary.

“First and foremost, I want everyone to know that I love this state and the people of this state,” Governor Parson said. “The people of this great state clearly define who we are in Missouri, and as Governor, I have no greater responsibility than to protect the health, well-being, and safety of all Missourians.”

In order to protect public health and prevent the further spread of COVID-19, Governor Parson’s Order includes specific guidance for staying home, social distancing, businesses and employees, schools, restaurants, firearm sales, and state government buildings.

Among other guidelines, the Order requires the following:

• Individuals currently residing within the state of Missouri shall avoid leaving their homes or places of residence.

• All individuals in the state of Missouri shall avoid social gatherings of more than ten (10) people.

• All public and charter schools must remain closed for the duration of the Order.

• Any entity that does not employ individuals to perform essential worker functions, as set forth in guidance provided by the federal government, shall adhere to the limitations on social gatherings and social distancing.

• Any entity that employs individuals to perform essential worker functions, and that is engaged in retail sales to the public, shall limit the number of individuals in any particular retail location as follows:

— Twenty-five (25) percent or less of the entity’s authorized fire or building code occupancy, as set by local authorities, for a retail location with square footage of less than ten thousand square feet (10,000 ft²);

— Ten (10) percent or less of the entity’s authorized fire or building code occupancy, as set by local authorities, for a retail location with square footage of ten thousand square feet (10,000 ft²) or more.

The Order does not prohibit Missourians from accessing essential services, such as grocery stores, gas stations, and banks, or engaging in outdoor recreation, provided that necessary precautions are taken and maintained to reduce the transmission of COVID-19, including observing the social gathering and social distancing requirements set forth in the Order.

The Order shall be observed throughout the state and enforced by all local and state health authorities. Local public health authorities are directed to carry out and enforce the provisions of the Order by any legal means.

“There comes a time when we have to make major sacrifices in our lives. Many of us make sacrifices each and every day, but now more than ever, we must all make sacrifices,” Governor Parson said. “This is not about any one individual person. This is about our families, friends, neighbors, and the entire state of Missouri. For the sake of all Missourians, be smart, be responsible, and stay home, Missourians.”

As of today, Missouri has 2,113 positive COVID-19 cases out of 24,727 tested in a total population of 6 million Missourians. This data shows that 8.5 percent of those tested have been positive.

Of the 8.5 percent of Missouri citizens who have tested positive, approximately 22 percent have required hospitalization. This means the remaining 78 percent are recovering at home or have already recovered.

Missouri has at least one positive case in 76 of Missouri’s 114 counties. Over half of the total positive cases are in St. Louis region.

Also as of today, Missouri has 19 COVID-19 related deaths. Based on the state's current data, Missouri's death rate is still below one percent.

NOTE: A PDF version of the order can be accessed here.

On Thursday, April 2, 2020, the Vernon County Commission entered an order declaring a public health emergency and issuing a "stay-at-home" order. The order will go into effect at 12:01 a.m., Saturday, April 4, 2020, and will expire on Saturday, April 25, 2020, unless it is extended, rescinded, superseded, or amended in writing.

Under the order, individuals in Vernon County "may leave their residences or place of rest only to perform essential activities."

The order states that (pursuant to 192.300, 192.320, 192.020 RSMo) any sheriff deputy or other law enforcement officer of the state or any political subdivision within Vernon County, Mo., is "hereby ordered to assist in the execution or enforcement of this order."

In addition, the order states that "violating a public health order designed to 'prevent the entrance of infectious, contagious, communicable or dangerous disease' into Vernon County can be punishable of a fine of up to $2,000."

Important aspects of the order are listed as follows:

"Essential Activities" shall mean:

• To engage in activities or perform tasks essential to their health and safety, or to the health and safety of their family or household members (including, but not limited to, pets), or close personal acquaintances, such as, by way of example only and without limitation, obtaining medical supplies or medication, visiting a health care professional, or obtaining supplies they need to work from home.

• To obtain necessary services or supplies for themselves and their family or household members, or close personal acquaintances, or to deliver those services or supplies to others, such as, by way of example only and without limitation, canned food, dry goods, fresh fruits and vegetables, pet supply, fresh meats, fish, and poultry, and any other household consumer products, and products necessary to maintain the safety, sanitation, and essential operation of residence.

• To engage in outdoor activity, provided the individuals comply with Social Distancing Requirements as defined in this Section, such as, by way of example and without limitation biking, walking, hiking, or running.

• To perform work providing essential products and services at an essential business or to otherwise carry out activities specifically permitted in this Order, including Minimum Basic Operations, as defined infra, at non-essential businesses.

• To care for a family member, close personal acquaintance, or pet in another household.

• To seek shelter from a severe thunderstorm and/or tornado to the extent necessary to preserve safety and ensuring they return to their place of residence or place of rest as soon as possible.

It is important to note that essential activities do not include, family gatherings outside of those that live within the residence or place of rest, weddings, funerals, wakes, memorial services, or similar gatherings. However, outdoor memorial services consisting of immediate family are permitted to the extent that the participants comply with social distancing requirements.

Non-essential business includes, but not limited to , theaters, gyms and recreation centers, bars, hair/nail salons and spas, bowling alleys, museums, auditoriums, and large meeting halls, outdoor spectator sports.

Essential business means any for-profit, non-profit, or educational entities, regardless its corporate or entity structure and includes: healthcare operations and essential infrastructure, grocery stores, markets, food banks, convenience stores, and other establishments engaged in the retail sale of canned food, dry goods, fresh fruits and vegetables, pet supply, fresh meats, fish, and poultry, and any other household consumer products (such as cleaning and personal care products). This includes stores that sell groceries and also sell other non-grocery products, and products necessary to maintaining the safety, sanitation, and essential operation of residences and persons; food cultivation including farming livestock and fishing; human and animal food processing facility workers; businesses that provide food, shelter, and social services, and other necessities fo life for economically disadvantaged or otherwise needy individuals; newspapers, television, radio, and other media services; gas stations and auto-supply, auto-repair, and related facilities; banks and related financial institutions; hardware stores; plumbers, electricians, exterminators, cemetery workers, undertakers, and other service providers who provide services that are necessary to maintaining the safety, sanitation, and essential operation of residences, essential activities, and essential businesses; businesses providing mailing and shipping services, including post office boxes.

The order contains a longer list of essential businesses. Read this and the entire Stay-At-Home order in the link to the PDF at the beginning of this article.

During a brief teleconference meeting of the Nevada Regional Medical Center's Board of Directors on Tuesday, COVID-19 (coronavirus disease 2019) testing, access to ventilators, and donation of Personal Protective Equipment (PPEs) were discussed.

In his C.E.O board report, Steve Branstetter noted, “Our current focus has been the ever-changing updates surrounding COVID-19. Changes to our patient and visitor policies, staff and physician management, as well as overall daily operations are continuously discussed to ensure best practices and safety for everyone. Adjustments have been made to the operations at our Rural Health Clinics to better serve our patients and protect our healthcare workers.”

Branstetter also added that there have been numerous calls at the city, state, and national level to discuss needed supplies, testing, action steps, etc. Some other key points Branstetter touched on are as follows:

• Dr. Compton's last day will be April 14. “We thank him for the medical services he has given to our patients and our community during his tenure with NRMC,” stated Branstetter.

• Jody Pryor, FNP started in the Wound Clinic on March 23. She will train with Dr. Compton until his departure with assistance from Dr. Dodd.

• The Pharmacy project is currently on hold due to COVID-19. “We are hopeful progress can resume in the next three to four week,” noted Branstetter.

• Telehealth services have started in a couple areas. Psychiatry and rural health clinic basic follow-up care (health screening, psychiatric care, mild illness, medication refills requiring an appointment) have been implemented.

As far as supplies, Branstetter stated, “We’re in real good shape supply-wise for right now. If we have a big surge, we’ll be having some issues. We did get some N95 (respirator) masks from Cottey — about 700. And, today, we got about 1,000 from 3M. We did get a partial supply from the state, too. Overall, everybody in the community has really helped us out.”

In regards to COVID-19 testing, Branstetter noted, “We have done 20 tests here in the hospital. Seventeen have been negative and three are pending. We request that they get those back in 24 to 48 hours.” Board member Wayne Reinert also asked, “How many ventilators does our hospital have for use?” Clinical Administrator Tara Garrett responded, “We currently have two ventilators that we can use. We also have the ventilators that are in our OR (operating room), so there’s four of those — making six total.”

In hospital financials, the net operating income in February was $86,915 which was $15,637 higher than the budgeted $102,552. Billed charges for Feburary were $8,069,588 which was $1,908 higher than budget and $373,072 higher than prior year. February expenses of $3,027,023 were over budget of $2,944,994. February 2020 expenses were $133,001 over February 2019 expenses. The fiscal year 2020 net operating loss of $238,044 is $177,333 better than budget and $1,028,860 better than fiscal year 2019. Expenses are $82,029 over budget for the month. Physician salaries are $41,991 higher than budget for the month because of the addition of Dr. Fox. Employee benefits are $60,000 higher than budget due to health insurance claims. Contract labor is $30,000 over budget due to agency nursing.

Patient Volumes

• February acute inpatient admissions of 62 were under budget of 76 admissions and were below February 2019 admissions of 81. Revenues for acute inpatient were $3,929 above budget for the month.

• Behavioral health admissions of 92 was on budget of 92, and above February 2019 admits of 85. BHU revenue was above budget by $169 for the month.

• Emergency Department’s 775 visits were above budget of 763 and above prior year visits of 765. Emergency Department revenues were $1,667 below budget for the month.

• The 58 surgical cases were below budget of 68 and below the 68 cases of February 2019. Operating room revenues were $1,428 below budget for the month.

• Obstetrics had 20 births this month which is lower than the budgeted 23. Revenue was $3,207 above budget.

• Hospital based clinic volumes of 1,233 visits were over budget of 865 visits and over February 2019 visits of 895. Hospital based clinic revenues are $11,098 above budget for the month.

• Rural Health clinic volumes of 2,000 visits were over budget of 1,851 and over the February 2019 visits of 1,496. Rural Health clinic’s revenue is $1,309 above budget for the month.

Also, today (Wednesday, April 1) marks the day that the new sales tax takes effect. The half-cent sales tax was passed by voters in the Aug. 6, 2019 special election. The measure passed, 1,020 to 128. The ballot measure drew a nearly 25 percent voter turnout with 88 percent approval. The sales tax was in support of NRMC’s outstanding debt. The estimated $800,000 generated annually from the sales tax will be used solely for the purpose of paying down NRMC’s 1.5 million dollar annual bond responsibility. It will sunset once the debt is paid. This sales tax, however, was delayed. It was supposed to begin on Jan. 1, 2020, but was subsequently delayed until April 1, 2020. In the Tuesday, Jan. 28, NRMC board meeting, Interim City Manager Mark Mitchell stated that the actual tax revenue that the hospital would have received, based on a five-year average if it had been implemented Jan. 1, 2020, would have been an estimated $693,000. “So, actually, the $800,000 wouldn’t come until around Christmas — we’re always like two months behind,” stated Mitchell at the time.

During yesterday’s board meeting, it was asked when the hospital would begin seeing that money — April 1 or the end of April. “The first check we’ll see is in May,” stated Branstetter.

In response to concerns in regards to COVID-19 (coronavirus disease 2019) testing in Vernon County, the Daily Mail reached out to the Vernon County Health Department for more information.

The following are questions posed by the Daily Mail and answered by Vernon County Health Department Nursing Supervisor Tasha Triplett, BSN RN.

Question: Do we have testing capabilites in Vernon County? Are there a shortage of tests?

Answer: "Yes, Vernon County has testing capabilities. People should contact their primary care provider for guidance on where they can be tested. I have been told by a few providers that test kits are limited, and in order to test through the State Public Health Lab the patient has to meet criteria set by the CDC. Providers are encouraged to receive approval from the CDC and send their test kits into the State Public Health Lab. Patients with questions about testing can also call the 24-hour hotline at (877) 435-8411 or visit the following link for more information: https://health.mo.gov/living/healthcondiseases/communicable/novel-coronavirus/.

Q: Where are the tests being sent for analysis? And what is the turnaround time on them?

A: "Tests are being sent to the State Public Health Lab as well as to other private labs. I am unaware of the turnaround times on the private lab specimens, but the State Public Health Lab has been getting results back in approximately 24 hours. (Depending on what time the specimen is sent off)."

Q: Have people been tested? If so, how many?

A: "Yes, there have been tests performed in Vernon County. We cannot state how many tests have been performed, due to not being notified of all tests performed. Labs are required to contact us with positive results, but negative results are not required to be sent to us, because they are not a reportable disease."

Q: What are some good tips/advice to follow to ensure slowing the spread of COVID-19?

A: "• If you can, stay home. If you have to be out, avoid crowds of more than 10 people and try to remain the social distancing of 6 ft apart. If shopping for necessities, if possible, only send one family member, try to refrain from the whole family going.

• Avoid close contact with people who are sick

• Stay home when you are sick, if you feel that you need to be seen by a provider, please call your provider and receive guidance about if you need to be seen and where to go. Of course, if you are having difficulty breathing please go to the nearest Emergency Room.

• Wash your hands with soap and water for at least 20 seconds.

• Cover your cough or sneeze with a tissue, then throw the tissue in the trash.

• Avoid touching your eyes, nose and mouth.

• Clean and disinfect frequently touched objects and surfaces."

During the Tuesday evening Nevada City Council meeting, technical difficulties with the live feed prevented some listeners from hearing the final resolution to be considered — Resolution No. 1557. This resolution authorizes the City Manager to implement emergency protocols to ensure the health, safety, and welfare of the citizens of Nevada during the COVID-19 pandemic. The Daily Mail reached out to Interim City Manager Mark Mitchell for clarification on what the resolution entailed.

“What that allows the City of Nevada to do is accept funding, grants, or Personal Protective Equipment (PPEs) from state and federal agencies, otherwise they would have to go through a process that would require council approval,” stated Mitchell. “By streamlining that process, the council still is kept in the 'know' about what is being offered out there, but we can accept it without going through a lot of time through council meetings, etc. On top of that, it kind of loosens the restrictions to allow the City Manager to control the budget a little better and reappropriate funds for emergency situations.” An example of this would be authorizing the fire and police departments to go out and buy protective equipment to retrofit city facilities with sanitation and safety precautions.

In addition, the City of Nevada has also been offering free use of their public transportation until further notice. Only essential trips to access healthcare, pharmacies, groceries, and work are provided. No cash or coupons are needed. The hours of operation have temporarily changed to the following: Monday, Wednesday, and Friday from 7 a.m. to 4 p.m., and Tuesdays from 6 a.m. to 3 p.m. No weekend rides will be available. Additional cleaning and seat coverings are in place to safeguard riders and drivers from the outbreak of coronavirus. “We did retrofit our taxi cab with a plexiglass shield between the driver and the passenger to protect both of them,” noted Mitchell. To schedule a ride, call (417) 448-5500.

Mitchell took a moment to acknowledge those who have taken the pandemic seriously with precautionary measures. “First and foremost, I'm very proud of the citizens of Vernon County and Nevada for taking proactive steps during this crisis,” stated Mitchell. “We have seen new innovations in the way people conduct business. We have seen really proactive steps with people taking time off from their businesses to protect them and their loved ones and the people that visit them on a daily basis for commerce. I'm really grateful for everyone taking this seriously and protecting themselves as well as protecting others.”

In closing, the Daily Mail asked Mitchell what advice or tips he would give citizens during this trying time. “I would quote a scripture to be completely honest with you,” stated Mitchell. “And that is 'To love your neighbor as yourself.' Look out for your fellow man and take care of yourself individually; reach out to your loved ones; help those in need; and comply with social distancing. Don't have more than 10 people gathering in one place. Wash your hands and if your sick, stay home. Not only for the benefit of yourself, but the ones who are around you.”

Donations for Personal Protective Equipment (PPEs) are being sought. The drop-off location is outside of the Daily Mail's office, 131 S. Cedar St.

Photo by Sarah Haney | Daily Mail Editor

Community members have been stepping up to the task of helping each other during the COVID-19 (coronavirus disease) pandemic. The Nevada Daily Mail's Business Manager Heather Trytsman is no exepction to this. She has begun collecting donations of Personal Protective Equipment (PPEs) to be delivered to local health care professionals.

“The donations came about because I have family and friends that are in the medical field here locally and abroad,” stated Trytsman. “They were telling me that there is a shortage and when there is a time of need in Nevada, if you put the word out there, usually everybody will come together to help. Also, my youngest son wanted to do a community service project for 4-H.” With everything going on because of the pandemic, this made sense for his service project.

Personal Protective Equipment items needed include N95 masks (or any kind of face mask, even homemade ones), gowns, bleach, hand sanitizer (these can include homemade sanitizers and soap), Lysol wipes, Clorox wipes, and gloves. “Anything that is a protective measure for the health care provider to stay as safe as possible while assessing the sick,” noted Trytsman.

“I'll deliver them every night if I need to,” stated Trytsman about the donations. “We'll deliver it one night to where one clinic will get it. The next night, a different one, and just keep passing it around so it's not all in one location. We'll also include the Vernon County Ambulance District since they are first responders.”

Donations are being accepted outside the Nevada Daily Mail office at 131 S. Cedar St., in a box by the front door. Items are brought inside, each night, at the end of business day. “If they want to private message me on Facebook for another pick-up location, I'm willing to do that as well,” added Trytsman.

The following is according to a letter sent to parents by the Nevada R-5 School District Administrative Offices:

“The ongoing impact of COVID-19 in our region requires school districts to be flexible and make decisions that are in the best interest of public health. In consultation with the Vernon County Health Department, Vernon County School Superintendents have made a joint decision to extend the “Wellness Break” and the closure of all our respective districts will be extended through April 24, 2020.

Nevada R-5 School District undertands this is an uncertain time for our students, families, and communities, but we remain focused on protecting the safety and well-being of students, staff, and families.

The extended closure impacts all extra and co-curricular activities, events, practices, and before- and after-school programs. All building remain closed to the public and nonessential personnel. Nevada R-5 School District will continue to provide meal options for children under the age of 18. We are also committed to providing learning resources and options that parents and students can consider during this unplanned break from regular learning.

Parents of students exhibiting flu-like symptoms or staff exhibiting flu-like symptoms, or any individuals who have travelled outside of the country, should contact the DHSS Hotline at 877-435-8411.”

In Wednesday's press briefing, Governor Parson assured Missourian’s that the state’s food supply remains strong and emphasized the important role of the food and agriculture industry in Missouri’s COVID-19 response efforts.

Missouri Agriculture Meeting the Demands of Food Production and Supply

“Missouri’s food supply is as strong as the men and women who drive our trucks and tractors,” Governor Parson said. “Farmers, ranchers and agribusinesses are critical pieces of our society at all times, especially right now. I want every worker and employer involved in the food industry to know that your work has never been more important.”

Agriculture plays a vital role in taking care of citizens’ most basic needs during a public health emergency, and the Missouri Department of Agriculture (MDA) has been working closely with its partners to maintain the state’s strong food supply chain.

In coordination with MDA and the Missouri Department of Health and Senior Services (DHSS), Governor Parson approved a request from DHSS Director Dr. Randall Williams to create a consistent directive across local governments for any individual or business that is part of the food supply chain.

Farmers, ranchers, agriculture businesses, and grocery stores are encouraged to continue essential business functions to feed Missouri citizens. This guidance supports the list published last week by the U.S. Department of Homeland Security identifying the food and agriculture industry as critical infrastructure during the COVID-19 response.

Additionally, by signing Executive Order 20-04 last week, Governor Parson extended the hours commercial drivers can operate on Missouri roadways in order to deliver essential supplies.

The Governor’s Office also worked with the Missouri Department of Transportation to allow for heavier-than-normal truckloads of supplies and equipment to travel on Missouri highways in the direct effort to prevent, contain, mitigate, and treat the effects of the COVID-19 virus. This includes shipments of livestock and poultry.

Supporting Missouri Businesses and Workers

Governor Parson also outlined steps being taken by the Missouri Department of Labor and Industrial Relations (DOLIR) and the Missouri Department of Economic Development (DED) to assist with the state’s COVID-19 response.

To assist businesses and workers impacted by the public health crisis, DOLIR is adjusting the administration of the state’s unemployment insurance program.

The following flexibility measures will be temporarily implemented:

• Relax the work search requirement for COVID-19 related claims

• Waive waiting week for unemployment insurance claims filed due to COVID-19, decreasing processing time

• Waive charging COVID-19 related claims on employers’ unemployment insurance accounts, helping employers avoid negative impact on their payroll tax rate

These measures will reduce the process time of claims while still maintaining the due process requirements for both employers and workers. Employers are still notified that a claim has been filed, and they have the opportunity to protest the reason for the claim.

Workers and businesses can find more information and file a claim at www.labor.mo.gov.

DED is also taking action during the COVID-19 crisis. In addition to Missouri’s approval for assistance through the U.S. Small Business Administration’s Economic Injury Disaster Loan program, DED has been actively reaching out to business leaders across the state to see how they can assist during this challenging time.

DED is also exploring other creative ways to contribute to Missouri’s COVID-19 response efforts, such as repurposing Community Development Block Grant (CDBG) funds.

Together, DED, the Missouri State Emergency Management Agency, the Missouri Department of Health and Senior Services, and the Office of Administration partnered with the Cole County Commission and Missouri Association of Councils of Government to provide CDBG funds to purchase 125 ventilators to aid in the statewide response to the COVID-19 outbreak.

$2.8 million in CDBG funding will be used for the purchase and distribution of the ventilators. The Missouri Department of Transportation will be distributing the ventilators based on need. The goal is to provide hospitals and first responders with the necessary equipment to perform life-saving measures.

Community leaders gathered via conference call on Wednesday morning for the second week in a row. The conference call among community partners and leaders has become a weekly way to stay informed about the local response to the COVID-19 (coronavirus disease 2019) pandemic. Updates were given by local agencies and organizations on what is being done to prepare and provide safety to the community. These updates are as follows:

Vernon County

“This virus is, no doubt, very contagious — yet, so is the fear that is being derived from it,” noted Presiding Commissioner Joe Hardin. “This is a scary time considering all the unknowns, but there's a lot of facts that are provided by the CDC (Center for Disease Control) that we can use to make decisions in our daily lives. We just need to continue to encourage people to get properly educated by the proper professionals and practice personally responsibility based on facts, rather than fear.”

Hardin went on to state that all of the government agencies and all first-responding agencies are in daily contact with one another. “They're all working collaboratively to properly serve and protect our community,” added Hardin. “Many of you know that years ago this cooperation did not necessarily exist, but I promise you it does now.”

City of Nevada

“We are continuuing to run our Fare Share program,” stated Interim City Manager Mark Mitchell. “We'll continue to operate, but I must stress we'll only operate as long as we're able to keep our drivers and our riders safe. I echo what Commissioner Joe Hardin says — we are working together and we're looking out for the best of our community. Our fire and police departments are fully staffed and operating.” Mitchell went on to say that the City of Nevada is keeping essential services operating. “At this time, we're going to continue to do so,” added Mitchell. “As this progresses, we may see some of those services cease until the threat passes. We are working hard and diligently to get through this as I know you are as well.

Nevada R-5

“Right now, we're still in that holding pattern,” stated Nevada R-5 School District Superintendent Dr. Tyson Beshore in regards to the school closure. “I foresee us, probably within the next week, following suit and shutting down through like April 24. A lot of schools in the Springfield area are going to make that known today and I think it will probably trickle down to us within the next, probably, two to three days.”

The Nevada R-5 School District began providing free breakfast and lunches, once classes were postponed, to all area children 18 years and younger. “The food program is going well,” stated Beshore. “I think as long as we are out, it will continue to increase each week. This week we are serving over 500 students each day. They're getting a lunch and a breakfast. It's lunch today, followed with a breakfast for tomorrow morning. Our numbers each day continue to grow. If we were to go out through towards that end of April mark, I would foresee those numbers increasing every week.”

In addition to this, Hardin noted that the YMCA is also serving approximately 400 meals a day. “Our other rural community school districts are serving over 200 per day,” continued Hardin. “Realistically, we're probably close to 1,300 to 1,500 meals per day being served. No matter how we move forward with more strict restrictions, if that comes down from the leadership role, we will obviously keep that operation going because that is very crucial to the survival of our youth during these times.”

Walmart

“We are not short food,” noted Nevada Walmart Store Manager Henry Wallace. “We've limited quanitities going out the door and it seems to have helped. They actually pushed me an extra truck yesterday, not that you can walk through here and tell, but we are putting it on the counter just as fast as we get it. I keep getting word that there is no shortage, it's just a matter of the distribution centers being able to load it and get it to us. As it stands now, the best time for milk, eggs, meats and bread is early in the morning. We've done senior shopping hour every Tuesday until April 28. It allows those folks time in here to shop in a clean store and be able to get some of those essentials. Toilet paper is still at a huge demand. I hate to speculate this, but we get that usually sometime between 9 a.m. and 3 p.m., every day, and that goes straight out. But, as far as any shortages, there's nothing up the pipeline that we're seeing. As soon as we get it in the door, it's coming to the floor to get on the shelf.”

Woods Supermarket

“We're pretty much in the same position,” stated Woods Supermarket Manager Jason Woods. “We're getting trucks in three days a week. We have vendors bring things in daily. We see customers somewhat try to keep social distance, but we're still struggling with that a little bit. Other than that, things are going. We are slowly rebuilding and paper is the same shortage — we're having the same issues as Walmart.”

Emergency Management

“I sent an email to several people yesterday that came from the state,” stated Emergency Management Director Derik White. “I talked to the state director last night. She wants to make sure that everybody that is nonprofit, or any emergency department, goes in and fills out that EM3482 form on the FEMA.” If you are a business, these can be accessed at www.sba.gov. “This form has to be filled out by April 12,” noted White.

On My Own, Inc.

“We're a center for independent living, that's what we do,” stated Executive Director Jennifer Gundy. “We refer people and get people resources. If you need to refer anybody to us, we'll serve anybody and everybody. We have a whole list of resources. We will start putting that more often on our Facebook page (www.facebook.com/OnMyOwnInc). If you're needing to refer anybody to get anything that they need — groceries, or any kind of resources or needs they might have, we can help with that.” Gundy noted that the organization can't pay for the groceries, but they've already started a delivery system to get groceries to those in need.

Community Outreach

“In our case, the community has been marvelous,” noted Community Outreach Director Barbara Long. “They drop by things all the time. Our doors are closed and we are doing curbside service – it seems to be working. Several churches have been concerned and so we are going to offer 60-year-olds and older to have their commodities taken to their home if we can get that worked out. The soup kitchen is serving out the door bags of food for their lunches to anybody that comes. We have up to 119 at the door.”

Mitchell closed by stating that the conference calls will continue to occur every Wednesday, at 10 a.m. “As this issue moves forward, we may schedule more calls during the week as new information becomes available,” Mitchell noted in closing. “Our main goal is to keep everyone informed and our main goal, as community leaders, is to keep everyone safe.”

In light of the COVID-19 (coronavirus disease 2019) pandemic, Congresswoman Vicky Hartzler (in conjunction with the Missouri Chamber of Commerce and Industry) provided an update to business owners and chamber leaders in her congressional district during a conference call Tuesday afternoon.

Starting the call off was Missouri Chamber President and C.E.O. Daniel P. Mehan. “If anyone wants to do any research or check out any appropriate links, I'd encourage you to visit our website (mochamber.com/coronavirus) at any time,” stated Mehan. “It's got a lot of the more tangible links to the Department of Economic Development; the Small Business Administration; the Center for Disease Control; and things that might be of interest to you.”

Staff at the Missouri Chamber of Commerce and Industry are currently working from home. “We've been talking to our members and to people around the country — we see this as a 'V' shaped curve event,” noted Mehan. “We're still on the left side of the 'V' going down, trying to contain the virus and triage what is going on out there — make sure people get the health care they need as quickly as possible. And, hopefully, positioning Missouri in particular to come out of this problem in good shape on the other side of the 'V.'”

“The state of Missouri has not issued a statewide shelter in place order,” added Missouri Chamber Vice President of Governmental Affairs Matthew Panik. “Several local governments have done so and they vary quite a bit in how strict they are and what individuals and businesses can continue to do.” Columbia, Mo., and Boone County issued the most recent order this morning at 10 a.m. “We are monitoring that,” noted Panik. Other areas with shelter in place orders in effect include St. Louis City, St. Louis County, St. Charles, Jefferson County, Jackson County, and Platte County. “As of now, there is no statewide order,” continued Panik. “The capitol is closed down for the next two weeks in Jefferson City. We have until May 15 with this legislative session. The state budget does have to get done.”

Congresswoman Vicky Hartzler then gave an update on what was going on at the federal level. “As far as Washington, D.C., I feel like we are at war with this coronavirus,” Hartzler stated. “We have two battlefronts right now. We have the health care battlefront, which is so important that we get these therapeutics out to treat this illness as quick as possible so people get better, that we develop a vaccine, and that we make sure that people have the test kits and all the health care items they need to be able to tackle this health care problem and help people get well. Of course we’re very focused on making sure we have enough money and resources. We’ve been very busy talking to our hospital administrators and individuals to determine what they need and avocating that they get those face masks and PPEs (Personal Protective Equipment). We also have the battle on the economic front. My number one goal is try to keep businesses going so they can keep people on the payroll. We have passed two major pieces of legislation so far and, as you know, there is a third one that is pending right now.” These pieces of legislation are as follows:

Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020

The Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 passed with near unanimous support in both the House and Senate. It was signed into law by President Trump on March 6, 2020. The bill provides $8.3 billion in emergency funding for federal agencies to respond to the coronavirus outbreak. Of the $8.3 billion, $6.7 billion (81 percent) is designated for the domestic response and $1.6 billion (19 percent) for the international response. “That provided a lot of additional money for diagnostic tests and treatments, and vaccine development,” stated Hartzler. “It did authorize the SBA (Small Business Administration) disaster loans for small businesses that has just been approved a couple days ago. As of yesterday, you can now apply for those disaster loans through SBA. They go up to $5 million and are about 3.75 percent interest rate and can help you get through this time.” Telehealth capabilites were also approved with this bill which will help people access their doctors from home with Medicare and Medicaid paying for that now.

Families First Coronavirus Response Act

The Families First Coronavirus Response Act was signed into law on March 18, 2020, marking the second major legislative initiative to address COVID-19. It addresses the domestic outbreak, including paid sick leave, insurance coverage of coronavirus testing, nutrition assistance, and unemployment benefits. “This, too, impacts businesses,” noted Hartzler. “It provides 100 percent refundable payroll tax credits to employers for paid sick leave for their employees if the employee gets sick themselves with coronavirus, or has a loved one that has coronavirus and they have to care for that person, or if they have a child that school has been cancelled and so they have to be home with the child. The federal government will pay the employer back for that paid sick leave. This is for businesses that have less than 500 employees. If you have less than 50 employees, the Secretary of Labor has the authority to issue regulations to exempt you from having to pay this if you feel like it would be too onerous.”

“That’s the first part — the paid sick leave,” continued Hartzler. “The second part gives qualified emergency and family medical leave. Right now, a lot of entities use this voluntarily. Businesses don’t have to pay. In this case, the federal government will pay the employer for individuals if they have to stay out due a child being out of school. The formula is that the employer would pay 2/3 of their salary, capping at $200 a day for up to 50 days, and then the federal government will provide businesses with the refundable payroll tax credit of 100 percent of the required wages. Just like on the paid sick leave, the Secretary of Labor has the option to issue regulations.”

The bill also expanded unemployment insurance. It gave $500 million emergency admininstrative assistance for all the states to help set up what they expect to be a much higher demand of people using it. It also gave $500 billion to extend the amount of weeks that unemployment can be given to individuals. In Missouri, currently, it is 20 weeks. This will pay for an additional 13 weeks and is paid 100 percent by the federal government. A state can qualify for this if they have a spike of at least 10 percent of unemployment compared to normally. “I would expect most every state would qualify for this,” noted Hartzler. This would mean that individuals in Missouri could receive up to 33 weeks of unemployment.

In regards to the third piece of legislation still being discussed, Hartzler stated, “Right now, they (Senate leadership) are trying to work out a third package which would make these look like small change. We’re talking between $1 to $2 trillion in this next package. It’s kind of mind boggling for me, but once again this is an economic battle. The main part that I’m in support of with this new bill that’s being discussed is an ability for businesses to get an SBA loan that would be 100 percent backed by the government to make payroll, mortgage payments, interest on your debt and rent payments and utilities. Those would be forgivable between March 1 and end of June.”

In closing, On My Own, Inc. Executive Director Jennifer Gundy posed a question to Congresswoman Hartzler. “We have an in-home program and also a consumer directed program. We understand the PPE issue — we’ve gone through all the proper channels,” stated Gundy. “We’re a Medicaid provider so we have access to get PPEs through the state and we were denied. We’ve contacted local health departments in our areas and they’re trying to get us supplies. We’ve got a phone call into a couple emergency management folks to try to access supplies there. The issue is when we’re providing care in people’s homes, that’s not any different than a nursing home or hospital. I don’t feel that is being given the same attention as the hospitals and EMTs and at some point, the more and more people that are getting this virus, it’s going to become an issue. We’re trying to get orders off of Amazon and our typical places like that, but it is a very real issue for our staff who are in the homes every day. Right now, we don’t have anybody who is positive, but we all know that’s not going to last. Plus, we need to be taking precautions so that we’re not spreading. We’re using gloves, but we’re having a hard time finding masks and gowns for when we do need to use them.”

In response, Hartzler stated, “We will get back with on that and see if we can be helpful. We’ll do what we can to raise this issue for you.”

In response to the continued spread of the coronavirus in Missouri, Gov. Parson and his administration have made several important changes to help all those who are being impacted by COVID-19. Representative Patricia Pike and her office staff are available to help expedite answers for your questions. Contact them at (573) 751-5388 or e-mail at Patricia.Pike@house.mo.gov. Please be aware of the following important changes:

Missouri Medicaid-MO HealthNet: Eligibility for any Medicaid participant will not be terminated unless the individual requests a voluntary termination of eligibility or the individual ceases to be a resident of the state through the end of the federal emergency COVID-19 declaration

• Extending 90 days of MO HealthNet coverage to Missourians ages 19-64 who test positive for COVID-19 and meet the income and resource eligibility guidelines

• Relaxing requirements related to prescription refills and prior authorizations to ensure participants have access to essential medications

• Expediting new provider enrollment applications and waiving certain enrollment requirements such as application fees and on-site visits to enable providers to serve Medicaid participants

• Waiving the co-payment for any services provided by means of telehealth

Food Stamp/Supplemental Nutrition Assistance Program (SNAP)

• The Family Support Division is waiving all work requirements for able-bodied adults without dependents for 90 days

Child Care Subsidy Program

• Child Care Subsidy benefits are extended for 90 days

• Provider application renewals are extended for 90 days

• Approve additional hours of care for families on a case-by-case basis

Family Support Division has requested waivers from the United States Department of Agriculture, Food and Nutrition Service to:

• Waive all Food Stamp adverse action notices for 90 days;

• Waive initial in-person Food Stamp interviews for 90 days and

• Extend Food Stamp certification periods by 6 months - this waiver has been received

Relief for Missouri Families and Businesses

• Filing deadline extended: The deadline to file income tax returns has been extended from April 15, 2020, to July 15, 2020.

• Payment relief for individuals and corporations: Income tax payment deadlines for individual and corporate income returns with a due date of April 15, 2020, are extended until July 15, 2020. This payment relief applies to all individual income tax returns, income tax returns filed by C Corporations, and income tax returns filed by trusts or estates. The Department of Revenue will automatically provide this relief, so filers do not need to take any additional steps to qualify.

• This relief for individuals and corporations will also include estimated tax payments for tax year 2020 that are due on April 15, 2020.

• Penalties and interest will begin to accrue on any remaining unpaid balances as of July 16, 2020. Individuals and corporations that file their return or request an extension of time to file by July 15, 2020, will automatically avoid interest and penalties on the tax paid by July 15.

• Vehicle owners with registrations or license plates expiring in March and April have been granted an automatic two-month extension. Owners will be able to continue operating their vehicles on Missouri roadways without penalty until they can apply for renewal.

• The time frame in which a vehicle safety and emission inspection is valid for March and April license plate expirations has also been extended an additional 60 days. Applicants for title will not be assessed a late title penalty when visiting a license office, effective immediately; this waiver will continue through April 30, 2020.

• Valid Missouri driver licenses, nondriver licenses and noncommercial instruction permits with original expiration dates of March 1, 2020, through April 30, 2020, have been granted an automatic 60-day extension.

Help for Small Businesses and Non-Profits

• The U.S. Small Business Administration approved Missouri’s request for assistance through the federal agency’s disaster loan program. This move makes low interest disaster loans available to small businesses and private non-profits severely impacted by the Coronavirus (COVID-19).

• SBA’s Economic Injury Disaster Loans offer up to $2 million in assistance for each affected small business or non-profit. These loans can provide vital economic support to small businesses to help overcome the temporary loss of revenue they are experiencing.

• Applicants will be able to apply online, receive additional disaster assistance information and download applications at https://disasterloan.sba.gov/ela. Applicants may also call SBA’s Customer Service Center at (800) 659-2955 or email disastercustomerservice@sba.gov for more information on SBA disaster assistance

Monday, Governor Mike Parson signed Executive Order 20-05 ordering the suspension of any prohibition on the sale of unprepared food by restaurants to the public.

“Due to the public health threat caused by COVID-19, many restaurants have been forced to limit or cease their normal business operations,” Governor Parson said. “We hope easing this regulatory burden will not only assist restaurants financially during this time and avoid unnecessary waste, but also help meet the increased demand for food across the state.”

Limitations on restaurants due to the COVID-19 crisis could result in the spoliation of unprepared food, and restaurants may wish to sell their unprepared food directly to members of the public without fear of punishment.

The Executive Order dictates the suspension of any prohibition of the sale of unprepared food by restaurants to the public or the enforcement thereof by any political subdivision of the state. Nothing in the order shall be construed to suspend the enforcement of laws pertaining to adulterated or misbranded food pursuant to Chapter 196, RSMo.

This Executive Order will terminate on May 15, 2020, unless extended in whole or in part.

“Many restaurants and bars are now offering drive-thru, pickup, and delivery options. This is a great option for Missourians to continue supporting their local businesses while still practicing the required social distancing,” Governor Parson said. “We will continue doing everything we can to minimize the impact of COVID-19 on Missourians and their families, which includes supporting Missouri’s small businesses and the communities that depend on them.”

Today, the City of Nevada announced that they will be holding their City Council Meeting on Tuesday, March 24, at 7 p.m. "To stop the spread of COVID-19 we will be practicing social distancing and complying with Governor Parson's Executive Order # 20-02 which states 'every person in the State of Missouri shall avoid social gatherings of more than ten (10) people,'" stated the release.

To comply with Missouri Sunshine Open Meeting Law, the public is encouraged to access the meeting via Facebook live here, or through teleconference TOLL FREE: 1-800-977-8002 PASSCODE: 7615 775 #.

If you would like to provide public comment, contact the City Clerk prior to the meeting at (417) 448-5102 or cityclerk@nevadamo.gov. View the tentative agenda online at nevadamo.gov.

According to a release from the Vernon County Sheriff’s Office, the office "has continued to update its procedures regarding its handling of calls for service, food service and inmates based on recommendations from the State and Federal Government regarding the COVID-19 virus. Vernon County Sheriff Jason Mosher said he is attending regular state and local meetings with officials on a regular basis regarding the virus."

Mosher explained some of the changes on Monday that he has taken regarding how the jail, patrol, dispatch and admin staff are functioning. “We put a lot of these changes in place nearly a month ago that include medical screening of inmates brought into our jail, responding to how we responded to calls and the cleaning within the building” said Mosher. The cleaning schedule was tripled for jail staff and admin staff that includes spraying down all surfaces, door handles, phones and kiosks within the jail frequently with disinfectants. Other changes that have been made on a temporary basis include:

• Patrol staff using PPE equipment when responding to calls for service

• Kitchen staff in the jail using PPE equipment when preparing meals • Suspension of on-site jail visitation (video visitation and phone calls still take place)

• Working with the courts to provide video court so the criminal justice system can continue to operate.

• Adding virus screening questionnaire to the dispatch process to better help protect first responders as well as screening people who enter the building.

Mosher said inmates in the jail are being monitored by medical staff and as of Monday have not had any inmates that require testing. Each separate area of the jail has its own air systems which will help reduce any cross contamination within the jail. Mosher said the Sheriff’s Office will continue to monitor the situation and make changes as needed.

The following information is provided by the Missouri Department of Health & Senior Services:

As of 9 p.m., Saturday, March 21, there are now 90 confirmed cases of COVID-19 (coronavirus disease 2019) in the state of Missouri. Of the 90 confirmed, one case is an individual under 20 years-old; 24 cases are in the 20-29 age range; 13 cases are in the 30-39 age range; nine cases are in the 40-49 age range; 13 cases are in the 50-59 age range; 17 cases are in the 60-69 age range; and 13 cases are in the over 70 age range.

Cases by County

Bates — 1

Boone — 10

Cass — 6

Christian — 1

Cole — 3

Greene — 10

Henry — 1

Jackson — 5

Jasper — 1

Johnson — 1

Kansas City — 13

Pulaski — 1

Scott — 1

St. Charles — 2

St. Louis City — 7

St. Louis County — 22

To Be Determined — 4

Labs are required by the Missouri Code of State Regulations to immediately report positive COVID-19 test results. It is important to note that results received from these labs are from patient samples taken over a period of time due to potential testing backlogs. As commercial labs increase their capacity for testing, we will continue to receive results from them requiring immediate verification of patient data for each result. Prompt efforts to protect the public’s health depends on this verification. Patient data from commercial labs is preliminary and subject to change following initial public health involvement.

As the COVID-19 crisis continues, Governor Mike Parson and his administration are taking steps each day to respond accordingly and protect the health and well-being of Missourians.

“My administration and I are committed to providing quality healthcare to those most dependent on state assistance and ensuring access to those in need of medical services or medications,” Governor Parson said. “A health care provider's primary focus should be on delivering what a MO HealthNet participant needs to remain healthy during this time, not on the participant's coverage.”

COMMITMENTS TO THOSE DEPENDENT ON GOVERNMENT ASSISTANCE

Governor Parson grants flexibility for the Missouri Department of Social Services to provide reassurance and clarity regarding services to our state’s most vulnerable population.

Missouri Medicaid-MO HealthNet

• Eligibility for any Medicaid participant will not be terminated unless the individual requests a voluntary termination of eligibility or the individual ceases to be a resident of the state through the end of the federal emergency COVID-19 declaration

• Extending 90 days of MO HealthNet coverage to Missourians ages 19-64 who test positive for COVID-19 and meet the income and resource eligibility guidelines

• Relaxing requirements related to prescription refills and prior authorizations to ensure participants have access to essential medications

• Expediting new provider enrollment applications and waiving certain enrollment requirements such as application fees and on-site visits to enable providers to serve Medicaid participants

• Waiving the co-payment for any services provided by means of telehealth

Food Stamp/Supplemental Nutrition Assistance Program (SNAP)

• The Family Support Division is waiving all work requirements for able-bodied adults without dependents for 90 days

Child Care Subsidy Program

• Child Care Subsidy benefits are extended for 90 days

• Provider application renewals are extended for 90 days

• Approve additional hours of care for families on a case-by-case basis

Family Support Division has requested waivers from the United States Department of Agriculture, Food and Nutrition Service to:

• Waive all Food Stamp adverse action notices for 90 days

• Waive initial in-person Food Stamp interviews for 90 days

• Extend Food Stamp certification periods by 6 months - this waiver has been received

FINANCIAL RELIEF FOR MISSOURI FAMILIES

Providing peace of mind and financial security for Missouri workers and families moving forward as we combat COVID-19 is a top priority for Governor Parson. The Department of Revenue has contributed to our state’s response by easing the burden and short-term uncertainty facing our state.

Mirroring the federal guidance issued by the Internal Revenue Service (IRS), the Missouri Department of Revenue (DOR) will provide special filing and payment relief to individuals and corporations:

• Filing deadline extended: The deadline to file income tax returns has been extended from April 15, 2020, to July 15, 2020.

• Payment relief for individuals and corporations: Income tax payment deadlines for individual and corporate income returns with a due date of April 15, 2020, are extended until July 15, 2020. This payment relief applies to all individual income tax returns, income tax returns filed by C Corporations, and income tax returns filed by trusts or estates. The Department of Revenue will automatically provide this relief, so filers do not need to take any additional steps to qualify.

• This relief for individuals and corporations will also include estimated tax payments for tax year 2020 that are due on April 15, 2020.

• Penalties and interest will begin to accrue on any remaining unpaid balances as of July 16, 2020. Individuals and corporations that file their return or request an extension of time to file by July 15, 2020, will automatically avoid interest and penalties on the tax paid by July 15.

To alleviate public congestion in local license offices, DOR has implemented automatic extensions for expiring driver licenses and motor vehicle registrations. These extensions are effective immediately:

• Vehicle owners with registrations or license plates expiring in March and April have been granted an automatic two-month extension. Owners will be able to continue operating their vehicles on Missouri roadways without penalty until they can apply for renewal.

• The time frame in which a vehicle safety and emission inspection is valid for March and April license plate expirations has also been extended an additional 60 days. Applicants for title will not be assessed a late title penalty when visiting a license office, effective immediately; this waiver will continue through April 30, 2020.

Valid Missouri driver licenses, nondriver licenses and noncommercial instruction permits with original expiration dates of March 1, 2020, through April 30, 2020, have been granted an automatic 60-day extension:

• The approved extension does not waive the mandatory retesting requirement for persons who have allowed their license to expire for more than 184 days. Also, individuals who were provided notice to complete additional testing as part of a medical review program requirement may be granted an additional 60 days to comply with such requirements.

Building on Missouri’s efforts to address COVID-19, Governor Mike Parson has directed Missouri Department of Health and Senior Services (DHSS) Director Dr. Randall Williams to order statewide social distancing.

The Order includes new measures to protect the health and safety of Missouri citizens and frontline workers.

“As the COVID-19 crisis continues to develop, this is a critical step in protecting the health and safety of Missourians,” Governor Parson said. “I cannot emphasize enough how important it is for all citizens to practice social distancing and abide by this order, which is backed by intense deliberation and knowledge.”

The Director of the Department of Health and Senior Services, finding it necessary to protect public health and prevent the further spread of COVID-19, pursuant to the authority granted under section 192.020, RSMo, hereby orders the following:

In accordance with the guidelines from the President and the Centers of Disease Control and Prevention, every person in the State of Missouri shall avoid social gatherings of more than ten (10) people. For purposes of this Order, “social gatherings” shall mean any planned or spontaneous event or convening that would bring together more than ten (10) people in a single space at the same time.

In accordance with the guidelines from the President and the Centers of Disease Control and Prevention, every person in the State of Missouri shall avoid eating or drinking at restaurants, bars, or food courts; provided, however, that the use of drive-thru, pickup, or delivery options is allowed throughout the duration of this Order.

In accordance with the guidelines from the President and the Centers of Disease Control and Prevention, people shall not visit nursing homes, long-term care facilities, retirement homes, or assisted living homes unless to provide critical assistance.

In accordance with the guidelines from the President and the Centers of Disease Control and Prevention, schools shall remain closed. This Order does not prohibit schools from providing child care and Food and Nutritional Services for those children that qualify. Teachers and staff may enter the building as long as they follow the directives set forth in this Order.

This Order does not prohibit people from visiting a variety of places, including grocery stores, gas stations, parks, and banks, so long as necessary precautions are taken and maintained to reduce the transmission of COVID-19, including maintaining at least six feet (6’) of distance between all individuals that are not family members.

For offices and workplaces that remain open, individuals shall practice good hygiene and, where feasible, work from home in order to achieve optimum isolation from COVID-19. The more that people reduce their public contact, the sooner COVID-19 will be contained and the sooner this Order will expire.

Local public health authorities are hereby directed to carry out and enforce the provisions of this Order by means of civil proceedings.

The Order will take effect beginning 12:01 A.M. Monday, March 23, 2020 and remain in effect until 12:01 A.M. Monday, April 6, 2020 unless extended by further order of the Director of the Department of Health and Senior Services with said extensions not to exceed the duration of the effective period of Executive Order 20-02.

“This is a serious time for our state and nation, and we must continue taking all steps necessary to stop the spread of COVID-19,” Governor Parson said. “The more people reduce their public contact, the sooner the virus will be contained and the sooner we can overcome this challenge.”

The following information is provided by the Missouri Department of Health & Senior Services:

As of 9:05 a.m., Friday, March 20, there are now 47 confirmed cases of COVID-19 (coronavirus disease 2019) in the state of Missouri. Of the 395 patients tested at the Missouri State Public Health Laboratory and Center for Disease Control (CDC), 369 of those tests were negative and 26 were positive. There has been one death in Boone County. The remainder of the confirmed cases were tested by a commercial or other laboratory.

Cases by County

Boone — 3

Cass — 3

Christian — 2

Cole — 2

Greene — 6

Henry — 1

Jackson — 3

Kansas City — 7

Pulaski — 1

Scott — 1

St. Charles — 1

St. Louis City — 5

St. Louis County — 9

To Be Determined — 3

Labs are required by the Missouri Code of State Regulations to immediately report positive COVID-19 test results. It is important to note that results received from these labs are from patient samples taken over a period of time due to potential testing backlogs. As commercial labs increase their capacity for testing, we will continue to receive results from them requiring immediate verification of patient data for each result. Prompt efforts to protect the public’s health depends on this verification. Patient data from commercial labs is preliminary and subject to change following initial public health involvement.

Photo by Matt Resnick | Daily Mail

With the coronavirus pandemic sweeping the globe, Nevada's 3M plant is taking action.

Plant manager Richard Wates said 3M is utilizing a preparedness plan in order to keep its employees safe.

"We're executing that plan," Wates told the Daily Mail on Thursday. "We have the protocols and procedures we are implementing to protect our employees. Our No. 1 priority is to protect our employees. There's nothing more important than their safety and health."

Wates said the plant took immediate action as soon as they became aware of the gravity of the situation.

"Once this situation unfolded, and we became aware, we worked with our corporate occupational health medicine department," Wates noted. "And, also, our full-time occupational health nurse to implement that plan. And that's what we're doing now. So, we've got those protocols and procedures in place, and we'll continue to adjust as the situation changes."

Wates elaborated on some of those protocols and procedures. "Certainly, an increase in the amount of cleaning that we're doing inside the plant, in common areas. Social distancing, screening of visitors, limiting travel."

The screening of visitors is based on CDC recommendations, according to Wates, concerning where they have recently traveled.

"Or, if they've exhibited signs or symptoms of any respiratory illness," he said. "

As far as limiting travel, Wates said that was in reference to 3M employees, for their own protection.

"At this point, we aren't traveling to other locations," Wates explained. "We've canceled that traveling. And certainly, visitors in the plant, sometimes we host large groups. We've postponed those events to contain and prevent — from a visitors standpoint, to minimize the risk there."

Wates said the company is working with employees who are either ill (in general), or have child-care concerns.

"Since schools are out, we're working with employees to try to adjust to that," he said.

Wates also said some employees utilize respirator masks, but that it was already common-place in the plant for some prior to the crisis. Additionally, 3M is a major manufacturer of respirator masks, and is in the process of increasing production. As it pertains to 3M, that is done exclusively at the corporate plant in St. Paul, Minnesota. The local 3M plant is a major manufacturer of (adhesive) film, on which images can be printed and then applied to different surfaces.

"Those are used in a lot of different applications," Wates said, referring to Nevada 3M employees who utilize a mask. "We use those in certain parts of our operation."

Summed up Wates: "Our focus is just on our people, and to keep them safe. We continue to look at any ways we can to make sure that while they're at work, we can keep them safe."

The following is a press release from the office of Missouri Governor Mike Parson:

As the new coronavirus (COVID-19) crisis continues, Governor Mike Parson and his administration are working each day to respond and protect the health and well-being of Missourians.

“My administration and I are working each and every day to combat COVID-19 and respond accordingly,” Governor Parson said. “We are all in this together, and I challenge all Missourians to do their part by exercising social distancing at every opportunity.”

Strong action to support Missouri's economy

Governor Mike Parson directed the Missouri State Emergency Management Agency and the Missouri Department of Economic Development to seek assistance for Missouri businesses through the U.S. Small Business Administration’s (SBA) Economic Injury Disaster Loan program.

• Yesterday, Governor Parson answered the call of Missouri businesses concerned about their long-term viability.

• The SBA will offer targeted, low-interest disaster recovery loans for Missouri small businesses that have been severely impacted by economic disruptions related to COVID-19.

• Immediately after this action, Missouri’s entire Congressional Delegation wrote, in bi-partisan unity, a letter supporting Governor Parson’s directive to the SBA. The Governor’s Office anticipates a prompt response in the next week.

• The Missouri Department of Economic Development (DED) is a leader in teleworking – nearly all employees starting tomorrow will have the ability to work from home.

• DED is also exploring creative ways to contribute to Missouri’s response to COVID-19 such as repurposing Community Development Block Grant funds, for example.

Strong leadership to support Missouri citizens

With the signing of Executive Order 20-04, Missouri state departments have increased latitude to ease administrative rules and regulations during this state of emergency.

• Yesterday, Governor Parson provided much needed flexibility for state resources to be more efficiently allocated.

• These are tangible and necessary steps the state is taking to ease any regulatory burdens that interfere with Missouri’s ability to respond to COVID-19.

• In concert with the Governor’s Office, this Executive Order allows all agencies to request a waiver or suspension of their regulations in an expedited process to further help provide immediate health and safety relief.

• Specific departments include the following:

- Department of Health and Senior Services

- Department of Public Safety

- Department of Social Services

- Department of Commerce and Insurance, the Division of Professional Registration, and its boards

- Department of Labor and Industrial Relations

- Office of Administration

• Specific regulatory relief includes the following:

- Expanding the use of telemedicine and pharmacology in order to protect doctors and decrease the risk of exposure to both healthcare providers and patients.

- Mirroring federal action to grant flexibility and enhance capacity for drivers of commercial motor vehicles, allowing the immediate transportation of essential supplies, equipment, and persons.

- To ensure the teacher workforce shortage is not exacerbated by COVID-19, teacher certification provisions with regard to qualifying scores on exit examinations and culminating clinical experience in terms of semester hours, weeks, and number of placements were addressed.

Call to action: What Missouri citizens can contribute to combat COVID-19

As Governor Parson and his administration continue to respond to the virus and combat the spread, many citizens from across the state have asked what they can do to help.

• Exercise common sense: If you feel sick, stay home. Do not go to work. If someone in your household has tested positive for COVID-19, keep the entire household at home. Do not go to work.

• Take extra precautions: If you are an older person, stay home and away from other people. If you are a person with a serious underlying health condition that can put you at increased risk (for example, a condition that impairs your lung or heart function or weakens your immune system), stay home and away from other people.

• Protect yourself and others: Avoid social gatherings in groups of more than 10 people. Avoid discretionary travel, shopping trips, and social visits. Do not visit nursing homes or retirement or long-term care facilities unless to provide critical assistance. Practice good hygiene.

• Many restaurants and bars are offering drive-thru, pickup, and delivery options – continue to support these community establishments.

According to a press release from the Vernon County Commission, the Vernon County Courthouse is now closed to the public. If you are needing assistance, call the office that you need to contact:

Assessor

Cherie Roberts — (417) 442-2530

Circuit Clerk

Carrie Poe — (417) 448-2525

Collector/Treasurer

Brent Banes — (417) 448-2510

County Clerk

Mike Buehler — (417) 448-2500

Extension

(417) 448-2560

Commission

(417) 448-2505

Juvenile

(417) 667-5015

Recorder

Shelly Baldwin — (417) 448-2520

Prosecuting Attorney

Brandi McInroy — (417) 667-4862

Public Administrator

Tammy Bond — (417) 448-2570

The Missouri Department of Conservation (MDC) announces it will close its nature centers, visitor centers, and education centers around the state to visitors effective Thursday, March 19, to help protect the public amid ongoing coronavirus (COVID-19) concerns. The indoor facilities will be closed to the public through April 15 and MDC will reassess the situation at that point. Nature center trails remain open.

Closed MDC facilities include:

• Burr Oak Woods Nature Center in Blue Springs;

• Cape Girardeau Conservation Nature Center in Cape Girardeau;

• Anita B. Gorman Conservation Discovery Center in Kansas City;

• Lost Valley Fish Hatchery in Benton County;

• Powder Valley Conservation Nature Center in Kirkwood;

• Rockwoods Reservation in St. Louis County;

• Runge Conservation Nature Center in Jefferson City;

• Shepherd of the Hills Fish Hatchery near Branson;

• Shoal Creek Conservation Education Center in Joplin;

• Springfield Conservation Nature Center in Springfield; and

• Twin Pines Conservation Education Center near Winona.

All conservation areas, area trails, and boat accesses remain open to the public. MDC offices and shooting ranges also remain open under normal operating hours. Hunting, fishing, and trapping seasons continue as scheduled. MDC managed hunts and mentored spring turkey hunts continue as planned.

Earlier this week, MDC cancelled other public events and programs around the state until April 15. The cancellations include scheduled hunter education classes, other nature center programs and events, shooting range programs and events, and landowner workshops.

People can contact their local MDC office with questions on specific events or programs. Find MDC contact information at mdc.mo.gov/regional-contacts?county=All.

Gov. Mike Parson today issued an executive order to relax the hours of operation for motor carriers to give them more flexibility in transporting goods to aid in Missouri’s COVID-19 emergency response.

The governor’s executive order supports the Federal Motor Carrier Safety Administration’s national emergency declaration to provide hours-of-service regulatory relief to commercial vehicle drivers transporting emergency relief in response to the nationwide coronavirus (COVID-19) outbreak. This declaration is the first time FMCSA has issued nation-wide relief and follows President Trump issuing of a national emergency declaration in response to the virus.

The governor’s executive order specifically waives the provisions of section 307.400, RSMo, which regulate motor carriers’ hours of service.

“This waiver will greatly assist Missouri’s COVID-19 emergency response by providing more flexibility to the men, women, and businesses working so hard to ensure that essential resources, such as food and medical supplies, can be moved efficiently and effectively to meet public demand during this challenging time,” Gov. Parson said.

In addition to today’s executive order, the governor’s office has worked with the Missouri Department of Transportation to allow for heavier-than-normal truckloads of supplies and equipment to travel on non-interstate Missouri highways in the direct effort to prevent, contain, mitigate and treat the effects of the COVID-19 virus. This includes shipments of livestock and poultry.

MoDOT is also temporarily suspending all Missouri International Registration Plan and International Fuel Tax Agreement trip and fuel permit requirements, including fees, for vehicles not currently registered for interstate travel in Missouri during the declared COVID-19 emergency. This waiver will remain in effect for the duration of the declared emergency under Missouri Executive Order 20-02.

More information on these emergency declarations, including emergency transport documents, can be found at www.modot.org/mcs.

As Missouri’s advocate for seniors and veterans, Missouri Lieutenant Governor Mike Kehoe encourages individuals and family members to utilize the following resources for COVID-19 related-health information and reporting related scams.

“It is both an honor and a privilege to advocate for Missouri’s seniors and veterans,” commented Kehoe. “Unfortunately, during challenging times there will be those who seek to prey upon the vulnerability or misfortune of others. Often their targets are seniors and veterans. I join Attorney General Schmitt and others encouraging Missourians to take care, and look out for, one another.”

A video PSA to be shared through broadcast and on social media is available here.

Missouri Novel Coronavirus Information Hotline: 1-877-435-8411

The Office of Lieutenant Governor Mike Kehoe

Phone number: (573) 751-4727

Website: https://ltgov.mo.gov

Email: ltgovinfo@ltgov.mo.gov

Missouri Attorney General’s Office

Consumer Protection Hotline: 1-800-392-8222

https://www.ago.mo.gov/about-us/contact-us

Department of Health and Senior Services

Phone: (573) 751-6400

Website: https://health.mo.gov/

Email: info@health.mo.gov

Missouri Veterans Commission

Veterans Crisis Line: 1-800-273-8255 (press 1)

Phone: (573) 751-3779

Website: https://mvc.dps.mo.gov/index.php

Email: movets@mvc.dps.mo.gov

According to Interim City Manager Mark Mitchell, "Vernon County and the City of Nevada have partnered to offer a a text system to keep citizens informed of time-sensitive information, emergencies, or urgent notifications."

There will be administrative training on this system in a few days, but it is recommended that individuals go ahead and sign up for the service.

You may enroll in the CodeRED emergency alert notification system by clicking here.

According to a release sent to the Daily Mail by Nevada Housing Authority Executive Director Carol Branham, "The Nevada Housing Authority in partnership with the YMCA will be providing grab-n-go meals to those 18 years of age and under at Fairground and Chapman Estates beginning today (Thursday, March 19) from 11 a.m. to noon. We are providing this service for those that are not able to access other programs for meals due to transportation issues."

The Crawford House & Paddock House remain closed. Routine work orders are not being conducted currently, but all emergency work orders will be responded to.

"We are making provisions to mail and/or email applications to anyone wanting to apply for rental assistance in our programs."

"We are asking for no visitors to our units except those tenants that have in-home services to reduce exposure for all. We have been in contact with tenants by phone to access any service needs. Tenants are encouraged to assure that we have current phone numbers on file and an emergency number so that we can communicate as needed."

Nevada Housing Authority tenants with questions or concerns, may call the Administrative Office, (417) 448-2730 or email nevmopha@sbcglobal.net.

"Our priority is the safety of our tenants, staff and community during this time."

Today, Governor Mike Parson directed the Missouri State Emergency Management Agency and the Missouri Department of Economic Development to seek assistance for Missouri businesses through the U.S. Small Business Administration’s (SBA) Economic Injury Disaster Loan program.

The SBA will offer targeted, low-interest disaster recovery loans for Missouri small businesses that have been severely impacted by economic disruptions related to the new coronavirus (COVID-19.)

Through the program, businesses can receive up to $2 million in assistance to use toward fixed debt payments, payroll, accounts payable, and other bills that cannot be paid due to the impact of COVID-19. The interest rate for small businesses will be 3.75 percent and 2.75 percent for non-profits.

SBA offers long-term repayment plans of up to 30 years to ensure loan payments are kept affordable. Terms are determined based on each borrower’s ability to repay on a case-by-case basis.

Additionally, SBA offers counseling and helps businesses navigate preparedness plans through a network of 68 district offices and resource partners located across the country.

For more information, contact the SBA disaster assistance customer service center. Call 1-800-659-2955 (TTY: 1-800-877-8339) or email disastercustomerservice@sba.gov. You can also learn more at SBA.gov/coronavirus.

Nevada Regional Medical Center (NRMC) continues to implement safety measures to keep its employees and patients safe during the COVID-19 pandemic according to guidelines set forth by the Center for Disease Control and Prevention (CDC). As best practices change to address this virus, NRMC will continue to adjust its policies and procedures accordingly.

As of Tuesday, visitors have been further restricted by asking NRMC Auxiliary volunteers not to report to the hospital and closing the gift shop. The cafeteria is now closed to the public. However, patients will continue to receive meals. Except those that are employed by NRMC, student nurses will not be permitted. Vendors will be allowed only if they directly assist or provide patient care. No other vendors will be allowed in the clinics, hospital, or any other departments at this time.

In an effort to decrease exposure to illness, all patients and visitors will enter the hospital through the Front Lobby, between 6:30 a.m. and 6:00 p.m., or the Emergency Department. All other hospital entrances are closed and only accessible as emergency exits.

Outside visitation to patient care areas has been restricted until further notice, as follows:

· The Emergency Department shall allow no visitors (including employees), unless the patient needs end of life or comfort care.

· Outpatient Surgery will limit visitors to the patient’s driver or significant other, if necessary, to accompany and assist the patient.

· Diagnostic Imaging, Laboratory, Physician Clinics, and other outpatient services will limit visitors to only those patients who need assistance for mobility or understanding of health information.

· One visitor is recommended for Med-Surg and OB patients/deliveries per patient per day. During deliveries, one support person and one visitor will be allowed at the nurse’s discretion.

Families will not be allowed to gather in the waiting rooms, based on CDC guidelines for social distancing.

· No visitors from 6:00 p.m. to 6:30 a.m. (unless the patient needs end of life comfort.)

Missouri Department of Health and Senior Services has set up a COVID-19 hotline. Individuals with questions regarding COVID-19 should call (877) 435-8411. Or if treatment is needed, present to the nearest Emergency Department.

In a conference call coordinated by the City of Nevada Wednesday morning, community health, business, educational, faith, government, and media partners joined together to share pertinent information in regards to the local response to the spread of COVID-19 (coronavirus disease 2019). “Our main focus of the call today is to establish a communication pipeline,” stated Interim City Manager Mark Mitchell. “To keep everyone up to date.”

Those participating in the conference call included Interim City Manager Mark Mitchell, Mayor George Knox, Presiding Commissioner Joe Hardin, Nevada City Council Member Carol Gallagher, Police Chief Casey Crain, Fire Chief Bill Thornton, City Clerk Johnna Williams and representatives from the following organizations: Vernon County Health Department, Nevada Regional Medical Center, Vernon County Ambulance District, Heartland Behavioral Health, Nevada/Vernon County Chamber of Commerce, Walmart, 3M, Compass, On My Own, Moss House, Nevada Housing Authority, Elmwood Estates, Nevada Public Library, Osage Prairie YMCA, United Way, West Central, Nevada Downtown Retailers, Cottey College, Nevada R-5 School District, LifeWalk, Pine Street Baptist Church (Red Cross), Vernon County Commission, Vernon County Sheriff's Department, City of Nevada, Southwest Community Services, KNEM/KNMO Radio, and the Nevada Daily Mail.

The conference call opened with a statement from Mayor George Knox and proceeded with each organization stating their concerns and what steps they are taking to slow the spread of COVID-19.

The following is an overview of the conference call:

Mayor George Knox's statement

“As the mayor of Nevada, the safety and well-being of our citizens is always our number one concern and priority. With that in mind, I want to assure you that the city has taken proactive steps to ensure the welfare of our community. The city remains focused on the continuity of critical operations — police and fire departments, providing clean water and sewer services. It's our responsibility to work together and to prevent the spread of the coronavirus to keep our citizens safe.”

Vernon County Health Department

According to the Vernon County Health Department, locally there are no confirmed cases of COVID-19. There have been two tests completed locally for the virus that have been sent out that are pending results. These were sent out via a private lab. Statewide, the number of those with the virus jumped significantly on Tuesday. “Likely, it will get here eventually,” stated a representative from the Health Department. “We went from seven positive yesterday morning (statewide), to 15 at the end of the day. The closest counties being affected are Henry and Cass counties.”

Nevada Regional Medical Center

“We have not seen any cases yet,” stated NRMC C.E.O Steve Branstetter. “We've got our emergency plan in place and we are restricting visitors. There are only two doors you can enter to get in the building.”

Presiding Vernon County Commissioner Joe Hardin's statement

“The county has implemented a temporary plan of action as far as county business on our website. We are trying to restrict access to get ahead of this a little bit.” Referring to a conference call that took place on Tuesday with Missouri state Governor Mike Parson, Hardin went on to state, “Statewide, there has been 281 negative tests conducted (as of 4:30 p.m., Tuesday, March 17). The positive cases is now at 15. By April 1, it is indicated that there will be enough test kits in the state of Missouri to conduct 10,000 tests on a daily basis. This is significantly higher than our capacity currently. The governor mentioned setting up a facility that will be specifically for these tests with the closest being in Lee's Summit. That being said, they are trying to get assistance from the National Guard to set up some mobile tents for drive-through testing and are looking for recommendations in our community where that may be possible. When I say our community, I don't necessarily mean it has to be in Nevada or Vernon County, but preferably somewhere between here and Lee's Summit.” Hardin also addressed the rumors of a food shortage in the nation. “There is no food shortage in the U.S.,” he noted. “All governors are having weekly meetings with the President and Vice-President. The problem is the time and the access to the materials, but there is no food shortage. I know that has been a big concern, not only here, but statewide. That's one of the things that led to Governor Parson's executive order on March 13. Not only did that allow the state to have access to state emergency plan and future funds (in excess of about $7 million additional), but it also lifted some MoDOT (Missouri Department of Transportation) restrictions which will allow more freight to be transported on our state's highways. With the lifting of those restrictions, more supplies (mainly groceries) will be shipping and coming to our stores soon. The county recently partnered with the City of Nevada on CodeRED, an emergency mass notification system. Those contracts were signed with CodeRED two days ago. Unfortunately, it wasn't done a couple weeks ago, but that was just the timing. Nothing was done wrong by them or us. That system, once we get everything in place, will give certain individuals the ability to send out notifications to any of our subscribers (unlimited) and will go to their phones, tablets, or other devices.” The last thing that Hardin discussed has been a concern for health care providers and first responders — a lack of Personal Protective Equipment (PPE). “There are a bunch of PPE's, if not an adequate amount, that is going to be shipped out” stated Hardin. “The governor's office yesterday indicated that that is going to be prioritized. He did not indicate how. More than likely probably the metropolitan areas first and then down to us in rural Missouri. They can not request more until those are shipped. Those will be on their way. If you are licensed with the state as an emergency responder or health care facility, you are automatically on that list to receive those. Our Emergency Management Director Derik White is developing a plan to effectively and efficiently get those PPE's out to those individuals as soon as they arrive here in Vernon County. Over 10 percent of the confirmed cases in the United States are medical professionals, with two confirmed deaths being emergency room doctors. It just shows the importance of the PPE's and supporting our responders as well as our health care professionals.”

Nevada Housing Authority

“The school district doing the grab-and-go lunches has been phenomenal and that helps particularly our school-aged kids,” stated Housing Authority Director Carol Branham. “My concern is our vulnerable population of the elderly and disabled and making sure those needs are met. We are calling all tenants again today. We first did our distribution of information Thursday in a letter to all tenants and hand-delivered on what our protocol is on being closed to the public right now. We're trying to see specific needs of medication or if they need groceries. I do have a couple of volunteer groups that have already contacted me and if we need to do stuff to individual units, they're willing to assist.”

On My Own, Inc.

“We have closed our office to the public as of today,” stated Executive Director Jennifer Gundy. “We are still, of course, going into our consumer and clients homes to provide care for them. You can still come to our office by appointment if you're needing something. We also take care of most of our things by phone. We are creating resource lists. We already talked to all of our clients and consumers last week to get them information and education on the virus — how to clean your house, how to self-isolate, different things like that. One need that we are having is we are not able to get hand sanitizer and we are needing that. We have it right now, but we are having trouble getting access to that. This is not something on the PPE list that we can get.” In addition, Gundy stated that On My Own, Inc., is putting together a resource list of grocery stores in their service areas and will be distributing that information. This will include which grocery stores do deliveries, have special shopping hours for seniors and people with disabilities. “We are also going to have staff members and volunteers that are willing to do grocery shopping for seniors and people with disabilities,” stated Gundy. “We will do this whether they are a consumer of ours or not.”

Elmwood Estates

Elmwood Estates' office is currently open. Those who are setting up appointments are requested to inform the office if they have recently been sick, are currently sick, or been around anybody who is sick. They have sent out notifications to residents on what precautions they should take in response to COVID-19. Hand sanitizing stations have also been set up for residents.

Nevada Public Library

“We were very swift to close once we learned that the schools were going to be closed, as well as the community center,” stated Library Director Jodi Polk. “That was for the safety of the children who may have been part of a family scrambling for childcare. We knew we didn't have the staff to supervise a large number of children safely, and we didn't have the space to accommodate. Once we learned that many educational formats are going to transition to remote access, we are aware that many families don't have Internet in their home, and so our main priority was to open our free WiFi signal and to make that available in the parking areas around and near the library building. We've doubled our access points and it doesn't require a passkey. We've extended the hours on these access points to be open from 6 a.m. to 11 p.m., and we're going to closely monitor that network to make sure that we're able to provide reliable WiFi for families.” The second priority the library has addressed, according to Polk, has been the convenience of access to materials — both for educational purposes and entertainment purposes for the community. “We've reduced our staff to a skeleton crew,” stated Polk. “As long as we have two people available each day, we're going to offer curbside service. The public can reserve materials or call in and request a variety of things. We'll pull those, have them ready, meet them at the door and hand them out.” Due dates have also been extended and fines have been waived between now and the time the library is able to open for full-service.

Osage Prairie YMCA

Earlier this week, the YMCA restricted access to just their fitness center. Following suit with the other YMCAs across the state, however, they are actually looking to suspend operations for any of the wellness services at end of business Friday, March 20. Child care services will be limited to those with essential positions that will help keep the county moving and running (example: fire and police departments, first responders, health care professionals, etc.) The YMCA is in the process of setting up a site for both Elmwood and Fairground Estates to be able to deliver meals.

United Way

United Way 211 is currently being utilized. This is a free and confidential service that helps people across North America find the local resources they need 24 hours a day, 7 days a week. This can be accessed by phone or computer. A toll-free call to 211 connects you to a community resource specialist in your area who can put you in touch with local organizations that provide critical services that can improve — and save — lives. You’ll find information about supplemental food and nutrition programs; shelter and housing options and utilities assistance; emergency information and disaster relief; services for veterans; and health care, vaccination and health epidemic information.

West Central

The county offices are closed to the public, but Evergy is extending their shut-off. It is anticipated that there will be new households and families in the financial crisis that will need utility assistance. West Central will have people on the phone who can register families if you call the central office at (660) 476-2185. The OATS bus is maintaining their service, with the exclusion of taking residents to nursing homes.

Compass Health Network

Referrals are being asked to call ahead before they arrive. Lobby protocols are in place if somebody does show up. Telephone and telehealth related services will be Compass' main focus at this time. Compass had taken over Access Dental and it will be closed.

Cottey College

“We have asked all of our students, barring a few exceptions that we're making, to leave campus and return home,” stated Vice-President of Student Life Landon Adams. “Many students already have (returned home). We're expecting our numbers to drop down into the 30 to 40 range. We've cancelled all visits to campus. We are having many of our employees now work from home and restricted access to buildings. We are currently requiring isolation for any students who are returning to campus from other areas. Any faculty or staff that have travelled back to the area, we're asking them to self-isolate. We've also increased housekeeping. At this point, we've got a task force on campus and have been in contact with NRMC and Vernon County Health Department about how to proceed should any of our population be symptomatic.

Nevada R-5 School District

In regards to their current free grab-and-go lunch program that was implemented at the beginning of the school postponement, Superintendent Dr. Tyson Beshore stated, “We are looking at adding breakfast. We are in contact with the state for that action plan to get approved. It will still be just the one time pick-up and we will have the lunch that day with the breakfast for the following day in the same bag. As far as the busing goes for that, we are looking at our different options. We have to make sure we are meeting food safety guidelines.” The district is also looking into opening up their WiFi for use outside of the building within the next day or two. It was also announced that classes would be further postponed through April 3. “The areas that our students are gathering in the community is a concern,” stated Dr. Beshore. “Not going to call out any business, but we all know the businesses that we have a lot of high school kids that want to go sit and hang out. Any help in those areas I think helps our community significantly. I need assistance in making sure we are getting through to our community, especially our kids and their parents — they need to be at home instead of hanging out at some local establishments.”

LifeWalk Church

“We are cancelling our Sunday morning experience for this Sunday and we will evaluate it weekly based on how things are going,” stated Steve Russ. Stressing the importance of service, Russ stated, “My hope is our people get involved and be the church in the community.”

Pine Street Baptist Church

Seniors are being contacted to make sure they are okay, in light of cancelled services. “Churches could be checking on families and their kids,” stated Pastor Chad Bailey. “I think that's an important element.”

Walmart

Hours have been reduced with operation being from 6 a.m. to 11 p.m., daily, to allow employees to clean and to restock items. As a corporation, sanitization of shopping carts is being looked at.

Nevada/Vernon County Chamber of Commerce

“The Chamber continues to send updates to businesses and community information through our Facebook page,” stated Director Sheree Gayman. “Also, yesterday, I started a group off our Facebook page called 'Nevada/Vernon County Updates,' and made it absolutely public. Anybody can post any supportive information or updates. It's definitely getting some traction — people are already starting to post on it. It's a forum for anybody to push out information.”

Nevada Downtown Retailers

“I have had messages from other businesses asking me what we should do,” stated Kitchen Essentials owner Traci Cliffman. “That's part of why I wanted to participate in this because we need guidance. We definitely want to be proactive, but we're small businesses as well. Obviously we are following the protocol. We are washing down everything with disinfectants and so forth, but what do we need to do? That's where we're all kind of at now.”

3M

For 3M Nevada, a representative stated that the health and safety of the employees is their top priority. A developed Preparedness Plan is being implemented and specific protocols and procedures are being executed to protect the employees' health and safety. 3M is still in operation.

Heartland Behavioral Health

The campus and visitations are closed. Staff are screened as they come into the building for fever or signs of illness. If they are able to get through the screening, then they work, but are unable to leave campus during their shift. Heartland has been affected by the shortage of PPE availability and are concerned by specific things like thermometer probes. Currently they have about a 20 day supply to get through all of the patients and staff.

Vernon County Ambulance District

“We sat in yesterday with the Bureau of EMS, listened to the webinar, and basically we're looking at guidelines that were sent down by them,” stated VCAD Director Leland Splitter.

KNEM/KNMO

Information may be faxed, emailed, or by calling the radio station. Their office phone number is (417) 667-3113. “We have a multitude of platforms that we work with,” stated Mike Harbit. “Not just on air.” This includes a website, social media, and a podcast channel. “We are working with some of our marketing partners now on redirecting their message,” stated Harbit.

Nevada Daily Mail

The Nevada Daily Mail office is closed to the public beginning Monday, March 16. For the safety of everyone, contact the staff by email or phone. Please call to make an appointment to arrange pick up for Printshop products/items, or they can be mailed. Our duty is to disseminate information as soon as possible across all platforms. All pertinent COVID-19 information is available online at no charge to all. We are forming partnerships with all entities to provide as much information to the masses as possible.

Pursuant to Governor Mike Parson’s Executive Order 20-02 declaring a state of emergency in response to COVID-19 and a request from Secretary of State Jay Ashcroft, Governor Parson today signed Executive Order 20-03 ordering all Missouri municipal elections previously scheduled for April 7, 2020, to be postponed to June 2, 2020.

The Executive Order declares that ballots already printed for the April 7 election may be used at the postponed date of June 2. Voters who have attained the age of 18 by April 7 will be allowed to cast a ballot.

“Given the growing concern surrounding COVID-19 and the large number of people elections attract, postponing Missouri’s municipal elections is a necessary step to help combat the spread of the virus and protect the health and safety of Missouri voters,” Governor Parson said. “Postponing an election is not easy, but we are all in this together. We are thankful to Secretary Ashcroft and our 116 election authorities for their leadership, cooperation, and commitment to doing what is best for their communities during this time.”

“I deeply appreciate Governor Parson’s quick approval and am thankful to the local election authorities – your county clerks and boards of election – who have worked through developing health concerns to find a unified and secure means of implementing our next election,” Secretary of State Jay Ashcroft said. “Missouri has 116 separate election authorities, almost all who are elected in their own right, and we have come together to help protect Missouri voters. These are difficult times, but I am grateful for how we have responded, worked together and come to a resolution that helps every single Missouri voter.”

Section 44.100, RSMo, provides that during a state of emergency, the Governor is authorized to “waive or suspend the operation of any statutory requirement or administrative rule prescribing procedures for conducting state business, where strict compliance with such requirements and rules would prevent, hinder, or delay necessary action by the department of health and senior services to respond to a declared emergency or increased health threat to the population.”

The Executive Order requires local election authorities to publish notice of the June 2 election as required in Section 115.127.2, RSMo. In addition, the Executive Order states:

The closing date to register to vote in this election remains March 11.

The deadline for filing as a write-in candidate for office remains March 27 at 5 p.m.

The deadline to apply for an absentee ballot (Section 115.279, RSMo) shall be May 20.

A public test of voting equipment shall be completed no later than June 1.

In-person absentee ballots may be cast until 5 p.m. on June 1.

The deadline by which absentee ballots must be received by the election authority (Section 115.293.1, RSMo) shall be 7 p.m. on June 2.

Military and overseas voters must request a ballot from an election authority by 5 p.m. on May 29, and the deadline for local election authorities to make ballots available to such voters is April 18. Military and overseas ballots must be received by the election authority by June 5.

Local election authorities are also directed to post information on their website, use social media if available, issue press release, conduct public appearances, and directly contact stakeholders such as candidates.