Alerts

COVID-19: Mandatory 14-Day Quarantine for all Arriving Passengers Remains; Partial Interisland Quarantine Reinstated Beginning August 11

August 14, 2020

STATEWIDE ORDER BY GOVERNOR DAVID IGE: YOU MUST SELF-QUARANTINE FOR 14 DAYS
Beginning September 1, Individuals Traveling from Out-of-State Required To Get Valid COVID-19 Test Within 72 Hours Prior To Trip, and Show Proof of Negative Result, To Avoid 14-Day Quarantine

All individuals, both residents and visitors, arriving from out-of-state to Hawaii are still subject to a mandatory 14-day self-quarantine.

INTERISLAND TRAVEL

The mandatory 14-day interisland self-quarantine has been partially reinstated. This applies to any person arriving to Kauai, Hawaii Island or Maui County (Maui, Molokai, Lanai), and traveling between these islands. It does not include interisland travelers arriving on Oahu. The period of self-quarantine will begin immediately upon arrival, and last 14 days or the duration of the person’s stay on the island, whichever is shorter. The interisland quarantine continues through Aug. 31 unless it is terminated or extended by a separate proclamation.


TRANSPACIFIC TRAVEL

Pre-Travel Testing Program: Beginning September 1, all travelers arriving in Hawaii from out-of-state will be required to get a valid COVID-19 Nucleic Acid Amplification Test (NAAT) within 72 hours of boarding their flight to Hawaii, and to show proof of a negative test result upon arrival at the airport, to avoid the 14-day quarantine. The FDA-approved NAAT test from a CLIA-certified laboratory will need to be done prior to arrival. No testing will be provided upon arrival at the airport. Click here for the July 13 press conference and here for the news release.

In response to the announcement, Chris Tatum, president and CEO of the Hawaii Tourism Authority (HTA) said, “We want to welcome back our visitors once our state is ready to do so in a safe manner that will hopefully avoid the need to backtrack in the future. Once we receive details on the process and requirements from the Department of Transportation and the DOH, we will share that information with the visitor industry.” Click here for the HTA news release.

Progress on the program is being made and more details will be in place by Sept. 1. New information will also be posted here. Program outline:

  • Nucleic Acid Amplification Test (NAAT) from a certified Clinical Laboratory Improvement Amendment (CLIA) lab
  • Travelers exempt for mandatory 14-day quarantine if testing negative no more than 72 hours in advance of travel
  • If results are not available by time of arrival, quarantine necessary until test results received
  • All travelers of all ages subject to pre-test requirement
  • Individuals responsible for testing costs
  • No commercial testing provided at Hawaii airports

Statewide Mandatory Quarantine: The 14-day mandatory self-quarantine applies to all arrivals at state airports, including private and commercial aircrafts. All arriving passengers are required to initial and sign this order confirming they are aware of the 14-day quarantine and acknowledging they understand violating the order is a criminal offense, and subject to up to a $5,000 fine and/or a year imprisonment. The period of self-quarantine begins from the time of entry into the State and lasts 14 days or the duration of the person’s time in Hawaii, whichever is shorter. Click here for the order and here for the tenth supplementary proclamation.

Pre-travel Checklist - 24 Hours Before Flight

Once travelers get to a Hawaii airport, they will have to show proof they completed their form and provide identification. After that, they will be expected to check-in daily during their mandatory 14-day quarantine. Visitors will be required to self-quarantine in their accommodations, and residents in their homes, but they may leave for medical emergencies.

After landing they will have their temperature taken through thermal temperature screening equipment at the gates currently in use to welcome arriving trans-Pacific flights at the Daniel K. Inouye International Airport (HNL), Kahului Airport (OGG), Lihue Airport (LIH), Ellison Onizuka Kona International Airport at Keahole (KOA) and Hilo International Airport (ITO). Phase 2 of the project will install the temperature scanning equipment at the remaining gates by Aug. 20. Phase 3 expects to have the facial imaging equipment installed by December 31, 2020. Read more: https://hidot.hawaii.gov/blog/2020/08/05/new-thermal-temperature-screening-equipment-in-use-at-hawaiis-airports/

Anyone with a temperature above 100.4 degrees will receive a medical assessment by paramedics stationed at the airport. Passengers who do not have a fever will then go through a checkpoint and present the completed form with a valid identification. Checkpoint staff will validate the form and issue documentation that certifies they cleared the checkpoint.

The passenger will move to the self-quarantine station, initial and sign the order confirming they are aware of 14-day quarantine and acknowledging they understand violating the order is a criminal offense and they are subject to up to a $5,000 fine and/or a year imprisonment.

Click here to view the visitor's journey and health protocols being implemented, including the airlines, airports, transportation, lodging, meetings and conventions, restaurants, retail, and activities and attractions.

HOST RULES

According to the tenth supplemental proclamation, all hosts of any guest(s) subject to the mandatory 14-day self-quarantine are responsible for ensuring that their guest(s) abides by the self-quarantine rules. Any host violates this rule if the host intentionally, knowingly, or recklessly fails to notify law enforcement immediately when a guest or guests subject to the self-quarantine fails to enter or remain within the confines of their designated quarantine location.

Please be sure to check the latest guidelines for short term rentals, transient vacation rentals and homestay operations in place, by county (City and County of Honolulu, Maui County, Kauai County, Hawaii County).

VEHICLE RENTALS AND CAR SHARING

Operations that provide vehicles may not rent or provide car sharing services to any person who is subject to a 14-day self-quarantine order unless an exemption is granted.

TRANSPACIFIC SELF-QUARANTINE EXEMPTIONS

There are exceptions to the general rule that all travelers must self-quarantine:

  • Individuals arriving in the State on recreational boats that have been at sea for at least 14 days do not have to self-quarantine if no one on the boat is ill or experiencing COVID-19 symptoms;
  • Individuals traveling to the State to perform critical infrastructure functions as described in the proclamation will be subject to self-quarantine but may break quarantine to perform their critical functions;
  • Individuals traveling interisland for medical care do not have to self-quarantine as long as they wear appropriate protective gear and practice social distancing;
  • Hawaii residents who have left the State to perform critical infrastructure work do not need to self-quarantine upon returning but must wear appropriate protective gear and practice social distancing; and
  • Out-of-state students (not accompanying family members) attending any University of Hawaii campus on Oahu, Chaminade University, Hawaii Pacific University, and Kauai Community College for the 2020 fall semester, with the conditions and procedures outlined here.

If you have questions regarding exemptions, contact [email protected].

HOW TO SELF-QUARANTINE

You must stay in your visitor lodging/home to prevent the possible spread of COVID-19 to other people. This means:

  • Do not use shared facilities such as pools, spas, gyms, restaurants, or bars
  • You may not rent a car, whether through a rental car company, online service or through a peer-to-peer platform or car-sharing service
  • Ask someone to drop off food and other necessities at your front door or order room service
  • Do not go to public places such as the beach, work, school, shopping centers, childcare, or local attractions
  • Do not let visitors in—only people who usually live with you should be in your home

If you are under self-quarantine and need to contact the call center, please call the following:

  • Visitor or intended resident: 808-468-9952
  • Hawaii resident: 808-377-4760

For general travel-related questions, please contact the Hawaii Visitors and Convention Bureau Call Center at 1-800-GO-HAWAII (1-800-464-2924).

HOW TO REPORT AN INDIVIDUAL WHO IS VIOLATING SELF-QUARANTINE

For violations, call local law enforcement on their non-emergency lines:

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TOURISM RESOURCES

HTA Daily Tourism Brief - COVID-19 Update (August 14, 4:00 p.m. HST)

Hawaii Passenger Arrivals by Air From Outside the State (August 14 News Release)

DBEDT Interisland Passenger Arrivals by Air

HVCB Kamaaina Special Offers Program Runs Through August 31
Hawaii residents can visit HawaiiSpecialOffers.com/kamaaina/ to access exclusive rates and discounts offered by participating Hawaii partners.

HTA Letter to Hawaii's Visitor Industry (April 27)

Letter from President and CEO Chris Tatum to HTA's Board of Directors (April 16)

HVCB Letters to U.S. Media

Accommodations and Activities Updates on GoHawaii.com

Presentation by Hawaii Governor David Ige - Beyond Recovery: Reopening Hawaii (May 18)

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Statewide Order by Hawaii Governor David Ige

On August 6, Governor David Ige issued the eleventh supplemental proclamation, which reinstates the mandatory 14-day quarantine for interisland travelers, in part, starting August 11. The quarantine requirement applies to any person arriving to Kauai, Hawaii Island or Maui County (Maui, Molokai, Lanai), and traveling between these islands. It does not include interisland travelers arriving on Oahu. The period of self-quarantine will begin immediately upon arrival, and last 14 days or the duration of the person’s stay on the island, whichever is shorter.

On July 17, Governor Ige issued the tenth supplemental proclamation, effective through August 31, 2020. The proclamation extends the mandatory 14-day quarantine for all travelers arriving in the state of Hawaii through August 31.

Under the current "Act with Care" phase, all persons within the State of Hawaii who are not subject to the 14-day quarantine for arriving passengers may engage in permitted activities outside their home or place of residence. This includes outdoor exercise activities including ocean activities such as surfing and swimming, as long as safe practices are maintained.

All individuals, both residents and visitors, arriving or returning to the State of Hawaii are subject to a mandatory 14-day self-quarantine. The mandate -- the first such action in the nation -- applies to all arrivals at state airports from the continental U.S. and international destinations and extends to other private and commercial aircrafts. Click here for the order and here for the second supplemental proclamation.

County Orders

City and County of Honolulu - The “Act With Care – Do Not Gather” Order will continue through September 4. To report COVID-19 related violations of the order on Oahu only to the Honolulu Police Department call the COVID Enforcement Hotline at 808-723-3900 or email [email protected].

All city parks, recreational facilities in parks (e.g., swimming pools, tennis courts, basketball courts, playgrounds), campgrounds, and Botanical Gardens are closed. Parks will be open for the limited purpose of traversing city parks to engage in and return from ocean activities such as surfing, solo paddling, swimming, and other activities allowed by law.

All state parks on Oahu are closed through at least September 4. In addition, all state forest land trails on Oahu, including those in the Na Ala Hele Trails and Access Program are closed.
 
Indoor attractions such as bowling alleys, arcades, and mini-golf facilities are closed. Indoor attractions such as theaters and museums remain open.
 
Public and private golf courses on Oahu will be limited to procedures in Hawaii Golf Phase One set forth in the Professional Golfers’ Association/Aloha Section’s “Procedures for Reintroduction to the Game and Business of Golf,” as may be updated/amended and to the extent reasonably practicable.

Social gatherings both indoor and outdoor continue to be limited to no more than ten individuals. Physical distancing of at least six feet apart should be maintained, and face coverings must be worn.

Short-term rentals (lodgings that provide guest accommodations for less than 30 days, other than hotels and motels), are not Essential Businesses or otherwise allowed to operate for purposes of the Order. As such, short-term rentals may not operate during the term of the Order, and they are not legally recognized places for visitors to lodge or self-quarantine.

Due to ongoing and heightened public health concerns linked to the spread of COVID-19, bars may not operate on Oahu.

Maui County - Transient vacation rentals may reopen to individuals who are not subject to the 14-day quarantine. Transient vacation rental operators should take note that:

  • Condominium units that are zoned hotel or that are on the short-term occupancy list, B&Bs and STRHs, could potentially rent to interisland travelers, residents and guests not subject to the 14-day quarantine, such as out-of-state guests who’ve completed their quarantine at a hotel.
  • Illegal TVRs continue to be disallowed and will be held responsible for violating County law and Public Health Emergency Rules, in addition to zoning violations.

According to the July 31 amendment, indoor and outdoor social gatherings are limited to no more than 10 people. Face coverings are required, and physical distancing of at least six feet between separate groups must be maintained.

County of Kauai - Under Emergency Rule 12, short term rentals, transient vacation rentals and homestay operations may reopen. No person that is subject to the mandatory self-quarantine is allowed to stay in these operations, unless they are the owner of the property. Under Emergency Rule 14, no transient vacation rental or homestay, as defined by the Kauai County Code, may be designated as a quarantine location for a new resident more than once in any six month period. The property owner, property manager, landlord, tenant, and guest shall each be responsible for ensuring compliance with this rule.

According to Emergency Rule 13, indoor gatherings of groups of up to 10 persons are permitted and outdoor gatherings of groups of up to 25 persons are permitted. All gatherings are also subject to requirements to maintain physical distancing, wearing face coverings and complying with other requirements of the Centers for Disease Control and Prevention.

Hawaii County - Hawaii County Mayor Harry Kim issued Emergency Rule 10. Most businesses, operations and activities, including short-term vacation rentals, may reopen. Exceptions such as nightclubs and other large venues such as concerts and conventions will remain closed.

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COVID-19 Positive* Cases in Hawaii

As of 12:00 p.m. HST on August 14, there have been 4,543 (233 newly reported) cases of COVID-19 in Hawaii. Of those cases, 6% have required hospitalization, and 4,241 (93%) were residents.

Total cases: 4,543 (233 newly reported)
Required Hospitalization: 277
Hawaii Deaths: 40
Released From Isolation: 1,756

Honolulu: 4,117 (1,431 released from isolation, 242 required hospitalization, 33 deaths)
Maui County: 206 (157 released from isolation, 27 required hospitalization, 6 deaths)
Kauai: 53 (46 released from isolation, 1 required hospitalization, 0 deaths)
Hawaii Island: 144 (122 released from isolation, 5 required hospitalization, 0 deaths)
Hawaii residents diagnosed outside of the state: 23 (0 released from isolation, 2 required hospitalization, 1 death)

*Includes presumptive and confirmed cases, and data is preliminary and subject to change.

Hawaii COVID-19 Epidemic Curve, Graphs and Maps (updated daily)

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Cruise Industry

On July 16, the Centers for Disease Control and Prevention (CDC) announced the extension of its No Sail Order for all cruise ships through September 30. This order ceases operations of cruise ships in waters in which the United States may exert jurisdiction and shall continue in operation until the earliest of the following situations. First, the expiration of the Secretary of Health and Human Services’ declaration that COVID-19 constitutes a public health emergency. Second, the CDC Director rescinds or modifies the order based on specific public health or other considerations.

On August 5, the Cruise Lines International Association (CLIA) announced that its ocean-going cruise line members will voluntarily extend the suspension of cruise operations from U.S. ports until at least October 31.

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Everyday Preventive Measures

The Hawaii State Department of Health (DOH) is encouraging everyone to help prevent the spread of respiratory illness by practicing physical distancing and doing these everyday actions:

  • Wear a cloth mask when conducting essential tasks in public.
  • Wash your hands often with soap and water for at least 20 seconds.
  • Avoid touching your eyes, nose, and mouth with unwashed hands.
  • Avoid close contact with people who are sick.
  • Stay home when you are sick.
  • Cover your cough or sneeze with a tissue, then throw the tissue in the trash.
  • Clean and disinfect frequently touched objects and surfaces using a regular household cleaning spray or wipe.
  • Seniors and individuals with underlying health issues should avoid large crowds.
  • Sign up for public notifications at https://health.hawaii.gov/news/covid-19-updates/.

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ADDITIONAL RESOURCES

Centers for Disease Control and Prevention
https://www.cdc.gov/coronavirus/2019-ncov/index.html

Travel Notices

Cruise Ship Travel

Guidance on Large Gatherings and Events (updated 4/5/20)

Reopening Guidance for Cleaning and Disinfecting Public Spaces, Workplaces, Businesses, Schools, and Homes (updated 4/28/20)

World Health Organization
www.who.int/health-topics/coronavirus

U.S. Travel Association
https://www.ustravel.org/toolkit/emergency-preparedness-and-response-coronavirus-covid-19

Hawaii State Department of Health
HawaiiCovid19.com

Guidance for Reopening the Food Service Sector (updated 5/22/20)

Multi-Language Physical Distancing Posters and Social Media Graphics (updated 4/11/20)

FAQ Sheet: COVID-19 (English) (updated 7/17/20)
(Chinese - Simplified) (Chinese - Traditional) (Japanese) (Ilocano) (Korean)

Flyer: COVID-19 "What You Need to Know" (English) (updated 3/5/20)
(Chinese - Simplified) (Spanish)

Flyer: What To Do If You're Sick or Think You Have COVID-19 (updated 2/5/20)

Flyer: Workplace Guidance (updated 3/12/20)

Hawaii State Department of Transportation
https://hidot.hawaii.gov/coronavirus/

Department of Business, Economic Development & Tourism
Daily Visitor Statistics: http://dbedt.hawaii.gov/visitor/daily-passenger-counts/

County Information - Oahu, Kauai, Maui, Island of Hawaii
County Emergency Management Agencies and Notifications: http://dod.hawaii.gov/hiema/get-ready/

Hawaii Foodbank - Oahu and Kauai

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LOCAL MEDIA UPDATES

Statewide

Kauai

Oahu

Maui

Island of Hawaii

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HTA NEWS RELEASES - ARCHIVE

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HTA TOURISM BRIEF - ARCHIVE

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HTA LETTER TO HAWAII'S VISITOR INDUSTRY - ARCHIVE

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OTHER NEWS RELEASES

Information from the State of Hawaii Office of the Governor news release issued on July 17, 2020:

Gov. David Ige has signed the 10th emergency proclamation, which keeps the mandatory 14-day quarantine in effect for travelers entering the State of Hawaii. Under the proclamation, travelers arriving in Hawaii will continue to undergo a mandatory screening process at the airport.

Full Press Release: https://governor.hawaii.gov/newsroom/latest-news/office-of-the-governor-news-release-governor-ige-signs-emergency-proclamation-extending-14-day-quarantine-for-travelers-entering-state-of-hawaii/

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Information from the State of Hawaii Office of the Governor news release issued on June 24, 2020:

Gov. David Ige announced today all travelers arriving in Hawaii from out-of-state will be required to get a valid COVID-19 test prior to their arrival, and to show proof of a negative test result, to avoid the 14-day quarantine. The pre-travel testing program begins Aug. 1.

Full Press Release: https://governor.hawaii.gov/newsroom/latest-news/office-of-the-governor-news-release-state-to-launch-covid-19-pre-travel-testing-program-for-out-of-state-travelers-august-1/

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Information from Cruise Lines International Association's (CLIA) news release issued on June 19, 2020:

Cruise Lines International Association (CLIA) issued the following statement today to announce that the association’s ocean-going cruise line members will voluntarily extend the suspension of cruise operations from U.S. ports until 15 September 2020.

“Due to the ongoing situation within the U.S. related to COVID-19, CLIA member cruise lines have decided to voluntarily extend the period of suspended passenger operations. The current No Sail Order issued by the U.S. Centers for Disease Control and Prevention (CDC) will expire on 24 July, and although we had hoped that cruise activity could resume as soon as possible after that date, it is increasingly clear that more time will be needed to resolve barriers to resumption in the United States.

“Although we are confident that future cruises will be healthy and safe, and will fully reflect the latest protective measures, we also feel that it is appropriate to err on the side of caution to help ensure the best interests of our passengers and crewmembers. We have therefore decided to further extend our suspension of operations from U.S. ports until 15 September. The additional time will also allow us to consult with the CDC on measures that will be appropriate for the eventual resumption of cruise operations.

“This voluntary suspension applies to all CLIA members to which the No Sail Order applied (vessels with capacity to carry 250 persons or more). CLIA member cruise lines will continually evaluate the evolving situation and make a determination as to whether a further extension is necessary.”

Full Press Release: https://cruising.org/news-and-research/press-room/2020/june/clia-announces-voluntary-suspension-of-cruise-operations-from-us-ports

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Information from the State of Hawaii Office of the Governor news release issued on June 10, 2020:

Gov. David Ige today signed a ninth supplementary emergency proclamation that extends the COVID-19 emergency period through July 31. The emergency proclamation lifts the quarantine requirement for inter-island travelers effective 12:01 a.m. on June 16, 2020. However, it also leaves in place the quarantine requirement for out-of-state travelers. The governor has the authority to make exemptions for transit corridors/bubbles.

Full Press Release: https://governor.hawaii.gov/newsroom/latest-news/office-of-the-governor-news-release-governor-ige-extends-covid-19-emergency-period-through-july-lifts-inter-island-quarantine-next-week/

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Information from the State of Hawaii Office of the Governor news release issued on June 1, 2020:

Gov. David Ige today announced that the state will be lifting the 14-day quarantine requirement for inter-island travelers, effective June 16.

The state Department of Transportation will require thermal screening at the airport for everyone traveling inter-island. HDOT will also require travelers to fill out a new form that will now also ask for health-related information to assist the state in tracking and responding to new COVID-19 cases.

Full Press Release: https://governor.hawaii.gov/newsroom/latest-news/office-of-the-governor-news-release-governor-ige-lifting-quarantine-requirement-for-inter-island-travel-on-june-16/

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Information from the State of Hawaii Office of the Governor news release issued on May 18, 2020:

Gov. David Ige today signed the 8th Supplemental Emergency Proclamation, extending the 14-day quarantine for travelers arriving in the State of Hawaii, as well as for inter-island travelers through June 30.

Full Press Release: https://governor.hawaii.gov/newsroom/latest-news/office-of-the-governor-news-release-governor-ige-outlines-re-opening-recovery-plan-extends-14-day-quarantine-for-travelers-to-hawaii-inter-island-travelers/

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Information from the State of Hawaii Office of the Governor news release issued on May 5, 2020:

Gov. Ige signed a 7th Supplementary Emergency Proclamation that authorizes the first group of businesses to re-open since the COVID-19 pandemic forced the temporary closure of non-essential businesses across the state on Mar. 25. The latest proclamation also allows residents to leave their homes to patronize certain businesses and activities under the new “Safer-at-Home” order.

Full Press Release: https://governor.hawaii.gov/newsroom/latest-news/governors-office-news-release-gov-ige-gives-first-round-of-businesses-greenlight-to-re-open/

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Information from the State of Hawaii Office of the Governor news release issued on April 25, 2020:

Gov. David Ige signed a 6th supplementary emergency proclamation extending the stay-at-home order across the state through May 31.

The stay-at-home order means residents may leave their homes only for various essential needs, including healthcare, purchasing food, medicine, gasoline, taking care of the elderly, minors, or those with disabilities, returning to a place of residence outside of Hawaii, picking up educational materials for distance learning, receiving meals or other related services. Outdoor exercise is also permitted – including swimming, surfing and walking pets. In addition, running, jogging or walking on the beach will be permitted, as long as social distancing requirements are observed.

Also extended through the end of May — the 14-day quarantine for both visitors and residents entering the state and for inter-island travelers.

Full Press Release: https://governor.hawaii.gov/newsroom/latest-news/governors-office-news-release-gov-ige-extends-stay-at-home-order-across-the-state-through-may-31/

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Information from the State Department of Transportation news release issued on April 24, 2020:

The Hawaii Department of Transportation (HDOT) has implemented improved measures to verify incoming passenger information before they leave the airport to help ensure people are abiding by the traveler quarantine order. The enhanced process is underway at the Daniel K. Inouye International Airport (HNL) and will begin statewide in the coming days.

Full Press Release: https://hidot.hawaii.gov/blog/2020/04/24/improved-verification-process-implemented-for-airline-passengers/

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Information from the State of Hawaii Office of the Governor news release issued on April 17, 2020:

Gov. David Ige issued a fifth supplementary proclamation adding to existing emergency rules for the COVID-19 crisis. The governor is encouraging everyone to wear cloth face masks whenever in public places with the exception of exercising outside, as long as social distancing requirements are maintained. It also details limitations on activities outside your home or place of residence.

Full Press Release: https://governor.hawaii.gov/newsroom/latest-news/office-of-the-governor-news-release-governor-ige-orders-eviction-moratorium/

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Information from the State of Hawaii Department of Land and Natural Resources news release issued on April 17, 2020:

Governor David Ige today, issued a fifth supplementary proclamation to his Emergency Rules. This one includes limitations on activities outside homes or places of residence and closes all beaches in Hawaii. It became clear that many people are continuing to access beaches, waters, and trails for social and recreational activities without proper social distancing during the COVID-19 crisis. Such activity contributes to the risk of spread of coronavirus across the state.

Under these new rules, all beaches are closed, which means no sitting, standing, lying down, lounging, sunbathing, or loitering on beaches and sandbars.  People can still cross beaches to access the ocean for outdoor exercise like surfing, solo paddling and swimming as long as social distances are maintained.

Full Press Release: https://dlnr.hawaii.gov/blog/2020/04/17/nr20-047/

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Information from the Centers for Disease Control and Prevention (CDC) news release issued on April 9, 2020:

The Centers for Disease Control and Prevention (CDC) announced today the extension of a No Sail Order for all cruise ships. The No Sail Order reinforces the strong action by President Donald J. Trump and the White House Coronavirus Task Force to combat the spread of COVID-19 in the United States. President Trump acted early and decisively to implement travel restrictions on foreign nationals who had recently been to China and Europe and by issuing the 30 Days to Slow the Spread guidelines. These containment and mitigation strategies have been a critical component of the United States COVID-19 response, but despite these efforts, cruise ship travel markedly increases the risk and impact of the COVID-19 outbreak within the United States.

Full Press Release: https://www.cdc.gov/media/releases/2020/s0409-modifications-extension-no-sail-ships.html

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Information from the State of Hawaii Office of the Governor news release issued on March 23, 2020:

Gov. David Ige signed a third supplementary proclamation Monday, ordering the entire state to stay at home and work from home starting at 12:01 a.m. Wednesday, Mar. 25 through Apr. 30. Essential workers are exempt.

Full Press Release: https://governor.hawaii.gov/newsroom/latest-news/office-of-the-governor-news-release-governor-ige-issues-statewide-order-to-stay-at-home-work-from-home-to-fight-covid-19/

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Information from the State of Hawaii Office of the Governor news release issued on March 21, 2020:

Hawaii Governor David Ige issued a second supplemental emergency proclamation ordering all individuals, both residents and visitors, arriving or returning to the State of Hawaii to a mandatory 14-day self-quarantine. The mandate -- the first such action in the nation -- applies to all arrivals at state airports from the continental U.S. and international destinations and extends to other private and commercial aircrafts.

Full Press Release: https://governor.hawaii.gov/newsroom/latest-news/governors-office-news-release-gov-ige-orders-mandatory-14-day-quarantine-for-all-individuals-arriving-or-returning-to-the-state-of-hawai%ca%bbi/

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Information from the City and County of Honolulu news release issued on March 18, 2020:

Mayor Kirk Caldwell issued a supplemental proclamation of emergency or disaster today to mitigate the spread of the coronavirus. The proclamation requires the closure of all bars and nightclubs for fifteen calendar days, and all restaurants and cafes that serve food, to close solely for drive-thru, pickup, or delivery service, also for fifteen days. This is effective March 20, at 8:30 a.m.

Full Press Release: http://www.honolulu.gov/cms-csd-menu/site-csd-sitearticles/1305-site-csd-news-2020-cat/38100-03-18-20-mayor-caldwell-issues-covid-19-supplemental-proclamation,-takes-action-on-bill-35.html

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Information from the County of Maui news release issued on March 18, 2020:

Mayor Michael Victorino announced a number of Public Health Emergency Rules effective as of 7:45 a.m. Friday, March 20, 2020, directed toward limiting the gathering of groups of people and curtailing vehicular transportation except for essential activities or operation of essential business or government functions, such as travel to and from work and medical appointments.

The rules require restaurants and cafes that serve food within the premises to close; however, take-out and delivery service may continue. Bars, nightclubs, theaters, tourist attractions, and other venues where the public gather must remain closed.

Full Press Release: https://www.mauicounty.gov/CivicAlerts.aspx?AID=9923

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Information from the County of Kauai news release issued on March 18, 2020:

Kauai Mayor Derek S.K Kawakami has implemented, via emergency rule, an islandwide nighttime curfew beginning Friday, March 20. The curfew will be in effect from 9 p.m. through 5 a.m. daily until further notice. Every individual within the County of Kauai must remain in their residence during these specified hours.

Mayor’s Emergency Rule #2 sets forth exceptions to the curfew, including:

1.  Commuting to and from work;
2.  Working for an essential service provider whose shifts are within the curfew window;
3.  Delivery services associated with food service establishments or stores that sell food and household supplies; and
4.  Seeking medical attention.

Mayor Kawakami also stated that airline travel to and from the island of Kauai be limited to essential needs only. “Until further notice, visitors should not be traveling to our island for recreational purposes,” emphasized the Mayor. “Kauai is on vacation!”

Further, vacation industry partners are urged to work with their marketing teams to refrain from marketing Kauai as a place to visit during this time in order to protect the health and safety of the community.

Full Press Release: https://www.kauai.gov/Portals/0/Mayor/PIO/NR031820KEMA.pdf?ver=2020-03-18-140021-373

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Information from the Hawaii State Department of Transportation news release issued on March 18, 2020:

The Hawaii Department of Transportation (HDOT) informs the traveling public that Hana Highway (Route 360) between Kapakalua Road and Hana Town is restricted to local traffic until further notice beginning March 18, 2020.

The local access restriction is being put in place to address access and congestion concerns due to roadwork and vehicles along the two-lane highway.

HDOT is currently installing slope stabilization measures on Route 360 near Papaaea Road that requires a 24-hour lane closure.

An electronic message board informing the public of the local traffic restriction will be placed near the Haiku Community Center.

Full Press Release: https://hidot.hawaii.gov/blog/2020/03/18/hana-highway-route-360-restricted-to-local-traffic-until-further-notice/

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Information from the State of Hawaii Office of the Governor news release issued on March 17, 2020:

Gov. David Y. Ige announced today state actions to slow the spread of COVID-19.

“The actions I’m announcing today may seem extreme to some of you, and we know that it will have negative effects to our economy. But we are confident that taking aggressive actions now will allow us to have a quicker recovery when this crisis is over,” said Gov. Ige.

Gov. Ige strongly encouraged our visitors to postpone their vacations for at least the next 30-days and reschedule for a later date.

Effective this Friday (March 20), screening of all passengers disembarking cruise ships will be screened. Our airports are working on implementation plans for screening arriving visitors.

Full Press Release: https://governor.hawaii.gov/newsroom/latest-news/proper-use-of-covid-19-tests-imperative-there-is-a-current-shortage-of-hand-sanitizers-and-toilet-paper-in-hawaii-in-part-because-of-the-publics-over-reaction-to-covid-19-the-hawai/

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Information from Hawaiian Airlines' news release issued on March 17, 2020:

Hawaiian Airlines today announced it will suspend thrice-weekly nonstop service between Honolulu’s Daniel K. Inouye International Airport (HNL) and Sapporo’s New Chitose Airport (CTS) from April 2 through July 18. Hawaiian, which has served Sapporo since 2012, is adjusting its global network in response to declining travel demand caused by the COVID-19 pandemic.

Full Press Release: https://newsroom.hawaiianairlines.com/releases/hawaiian-airlines-suspending-sapporo-service

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Information from the State of Hawaii Office of the Governor news release issued on March 16, 2020:

Gov. David Y. Ige signed today a supplemental emergency proclamation adding provisions to protect the health and safety of the people of Hawaii as the COVID-19 pandemic continues.
 
“Across the globe and here in Hawaii, we’re seeing disruptions to every aspect of our lives. As more cases are confirmed, events cancelled, and social distancing measures taken, it’s understandable that people are anxious. This supplemental emergency proclamation allows us to take unprecedented actions to protect the most vulnerable members of our community and ensure that medical resources are available to those who most need them,” said Gov. Ige.
 
Gov. Ige announced that he has appointed Ken Hara, director, Hawaii Emergency Management Agency, to be the incident commander.

Full Press Release: https://governor.hawaii.gov/newsroom/latest-news/governor-ige-issues-supplemental-emergency-proclamation-to-fight-covid-19/

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Information from Hawaiian Airlines' news release issued on March 15, 2020:

Hawaiian Airlines today announced it will temporarily suspend nonstop service between Honolulu and its Australia and New Zealand gateways starting later this month due to new government entry restrictions being imposed in response to the COVID-19 pandemic.

Full Press Release: https://newsroom.hawaiianairlines.com/releases/hawaiian-airlines-suspending-australia-new-zealand-service 

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Information from Cruise Lines International Association's (CLIA) news release issued on March 14, 2020:

CLIA ocean-going cruise lines will be voluntarily and temporarily suspending cruise ship operations from U.S. ports of call for 30 days as public health officials and the U.S. Government continue to address COVID-19.

“CLIA cruise line members are voluntarily and temporarily suspending operations from the U.S. as we work to address this public health crisis,” said Kelly Craighead, President and CEO, CLIA. “This is an unprecedented situation. Our industry has taken responsibility for protecting public health for more than 50 years, working under the guidance of the U.S. Centers for Disease Control and Prevention, and prides itself on its ability to deliver exceptional vacation experiences for guests, as well as meaningful employment opportunities for crew. This has been a challenging time, but we hope that this decision will enable us to focus on the future and a return to normal as soon as possible.”

The temporary suspension will take effect at 12:00AM EDT on 14 March 2020. CLIA ocean-going cruise lines are focused on the safe and smooth return of those currently at sea onboard ships that will be affected by this decision.

Full Press Release: https://cruising.org/news-and-research/press-room/2020/march/clia-covid-19-toolkit

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Information from the Department of Homeland Security's press release issued on March 11, 2020:

Today President Donald J. Trump signed a Presidential Proclamation, which suspends the entry of most foreign nationals who have been in certain European countries at any point during the 14 days prior to their scheduled arrival to the United States.

These countries, known as the Schengen Area, include: Austria, Belgium, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Slovakia, Slovenia, Spain, Sweden, and Switzerland. This does not apply to legal permanent residents, (generally) immediate family members of U.S. citizens, and other individuals who are identified in the proclamation.

Full Press Release: www.dhs.gov/news/2020/03/11/homeland-security-acting-secretary-chad-f-wolf-s-statement-presidential-proclamation

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Information from the Hawaii State Department of Health's news release issued on March 10, 2020:

Hawaii is shifting its COVID-19 response efforts into higher gear this week by launching a statewide surveillance testing program to identify cases of community spread of the coronavirus. This additional layer of testing helps detect COVID-19 cases earlier so that appropriate steps can be taken to contain the virus.

Full Press Release: https://health.hawaii.gov/news/newsroom/department-of-health-steps-up-testing-for-covid-19-about-200-tests-to-be-conducted-each-week/

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Information from the Hawaii State Department of Health issued on March 8, 2020:

On March 8, the Hawaii State Department of Health (DOH) identified a second presumptive positive test result of COVID-19 for an elderly adult who is hospitalized in serious condition on Oahu. The individual felt ill on March 2 in Washington State and traveled home to Honolulu on March 4. The Centers for Disease Control and Prevention (CDC) has been notified and trace back investigations are being conducted. The Oahu hospital has taken protective and preventive measures and is working with healthcare workers to ensure health and safety. Information is still being gathered and as more information becomes available, the public will be advised.

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Information from the Hawaii State Department of Health issued on March 6, 2020:

On March 6, DOH identified the first presumptive positive case of COVID-19 in Hawaii. That individual was a passenger on the Grand Princess cruise in Mexico from Feb. 11-21. After arriving in Mexico, the individual traveled home to Honolulu with no symptoms. While home in Honolulu, the individual became ill on March 1, sought medical care and was tested on March 6. The individual is currently isolated at home and is being monitored daily by DOH. The department is conducting a detailed trace investigation to identify, notify, and provide guidance to all close contacts as quickly as possible. The patient is a local resident and was likely exposed while aboard the Grand Princess cruise ship. There is no evidence of community spread at this time, but DOH is working to determine if the patient had any close contact with anyone while they were ill.

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Information from Hawaiian Airlines' news release issued on March 6, 2020:

Hawaiian Airlines today announced it would adjust flight frequencies between Hawaii and Tokyo's Haneda Airport (HND) at the end of March due to slowing travel demand attributed to the COVID-19 virus.

Full Press Release: https://newsroom.hawaiianairlines.com/releases/hawaiian-airlines-adjusting-hawaii-haneda-frequency

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Information from the State of Hawaii Office of the Governor news release issued on March 5, 2020:
 
Gov. David Ige today issued an emergency proclamation that allows the state to work quickly and efficiently to prevent, contain and mitigate the spread of the novel coronavirus or COVID-19, and to provide disaster relief if necessary.
 
Full Press Release: https://governor.hawaii.gov/newsroom/latest-news/office-of-the-governor-news-release-gov-ige-issues-emergency-proclamation-for-covid-19/

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Information from Hawaiian Airlines' news release issued on February 26, 2020:

Hawaiian Airlines today announced its decision to temporarily suspend its five-times-weekly nonstop service between Honolulu’s Daniel K. Inouye International Airport (HNL) and Incheon International Airport (ICN), beginning March 2 through April 30, due to a spike in COVID-19 cases in South Korea.

Full Press Release: https://newsroom.hawaiianairlines.com/releases/hawaiian-airlines-temporarily-suspending-incheon-service

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Information from the Hawaii State Department of Health's media update issued on February 20, 2020:

The Hawaii State Department of Health (DOH) is continuing to actively gather facts about a visiting husband and wife from Japan who came to Hawaii, January 28 - February 7, 2020. They visited Maui (January 28 - February 3) and Oahu (February 3-7). Upon their return home to Japan, they were confirmed to have COVID-19. DOH officials do not believe that they caught it while in the Hawaiian Islands. Further, February 20 was the last day that any individual who may have had prolonged, close contact with the couple would be expected to show symptoms. At this time, there is no indication of transmission or related illness.

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Information from the Hawaii State Department of Health's news release issued on February 14, 2020:

The Hawaii Department of Health (DOH) was notified today by the Centers for Disease Control and Prevention (CDC) that an adult male who traveled to Maui from Jan. 28 to Feb. 3 and to Oahu from Feb. 3-7 has been confirmed for COVID-19. The individual is a Japanese national who developed severe symptoms, sought medical care, and was diagnosed and tested after leaving Hawaii and returning home to Japan.

The Department of Health was informed that the individual had no symptoms while traveling on Maui and developed cold-like symptoms with no fever while staying on Oahu. The department has begun an investigation and is working closely with state, federal and county officials. A medical advisory was sent out today to alert the healthcare community in Hawaii to be vigilant about possible cases.

“The Department of Health has been expecting and preparing for identifying a travel-related case in Hawaii because of the widespread outbreak in China and other areas of the world. The state is more than ready with aggressive control and prevention measures as we work closely with our medical community and response partners,” said Health Director Bruce Anderson. “We are committed to keeping the public fully informed and will continue to provide updates as this situation unfolds.”

“The individual had no symptoms while on Maui and was not contagious,” said Dr. Sarah Park, state epidemiologist. “There is no increased risk on Maui from possible exposure. On Oahu, the individual had cold-like symptoms with no fever. I have alerted physicians that it’s possible that cases may surface sometime before Feb. 21 because the onset of illness is generally within 14 days.”

Full Press Release: https://health.hawaii.gov/news/newsroom/hawaii-department-of-health-notified-of-confirmed-covid-19-case-who-traveled-to-maui-and-oahu/ 

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Information from the U.S. Department of Health and Human Service's news release issued on January 31, 2020:

Health and Human Services Secretary Alex M. Azar II declared a public health emergency for the entire United States to aid the nation’s healthcare community in responding to 2019 novel coronavirus.

“While this virus poses a serious public health threat, the risk to the American public remains low at this time, and we are working to keep this risk low,” Secretary Azar said. “We are committed to protecting the health and safety of all Americans, and this public health emergency declaration is the latest in the series of steps the Trump Administration has taken to protect our country.”

The emergency declaration gives state, tribal, and local health departments more flexibility to request that HHS authorize them to temporarily reassign state, local, and tribal personnel to respond to 2019-nCoV if their salaries normally are funded in whole or in part by Public Health Service Act programs. These personnel could assist with public health information campaigns and other response activities.

Full Press Release: https://www.hhs.gov/about/news/2020/01/31/secretary-azar-declares-public-health-emergency-us-2019-novel-coronavirus.html

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Information from the Hawaii State Department of Health's news release issued on January 29, 2020:

Although the risk to the general public is low, the Hawaii Department of Health (DOH) is working with state, county, and federal partners including the medical community and the Centers for Disease Control and Prevention (CDC) to actively prepare for possible cases of the 2019 novel coronavirus (2019-nCoV). Last week, the DOH alerted the medical community and information for healthcare providers has been posted at www.health.hawaii.gov.
 
Currently, there are no cases of 2019-nCoV identified in Hawaii and the risk to the general public is low. The novel coronavirus originated in Wuhan, China and currently there are more than 6,000 cases confirmed in China and at least 17 countries. This includes 132 deaths in China. There have been at least 5 cases in the U.S. of people who traveled to Wuhan or other areas in China and no evidence of person to person spread of the virus in the U.S.

“The Hawaii Department of Health is working closely with our emergency response network to put proactive measures in place to protect our residents and visitors,” said Health Director Bruce Anderson. “Because Hawaii is a major travel destination, planning and preparing for possible outbreaks is an ongoing activity. The emergence of the 2019 coronavirus in Wuhan and its potential to spread to areas outside of China poses an increased threat to travelers and Hawaii residents and we’ve ramped up our efforts.”

“We are advising people not to travel to China at this time,” said Anderson. “Various areas in China have been placed under quarantine by the Chinese government, and travel within the country is either completely prohibited or significantly curtailed to prevent the spread of this disease.”

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Press release issued by the Hawaii Department of Transportation on January 28, 2020:

The HDOT Airports Division (HDOTA) works closely with the Centers for Disease Control and Prevention (CDC) and Hawaii Department of Health regarding the coronavirus. The Daniel K. Inouye International Airport (HNL) is one of 20 airports in the country with a CDC Quarantine Station enforcing foreign quarantine regulations. For information regarding the quarantine stations click here.

HDOTA follows the direction of the CDC regarding additional screening practices at any of the airports in the state. The CDC initially announced entry screening at San Francisco (SFO), Los Angeles (LAX) and New York (JFK) and has added Atlanta (ATL) and Chicago (ORD) to the list. There are no direct flights from Wuhan, China to Hawaii. HDOTA will continue to monitor communication and developments with the CDC regarding the evolving situation. Additional questions may be directed to the CDC newsroom.

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Press release issued by the Centers for Disease Control on January 28, 2020:

The Centers for Disease Control and Prevention (CDC) issued updated travel guidance for China, recommending that travelers avoid all nonessential travel to all of the country (Level 3 Travel Health Notice). This warning is in response to an ongoing outbreak of respiratory illness caused by a novel (new) coronavirus (2019-nCoV) spreading between people in many parts of that country.

In the United States, there have been 5 cases of 2019-nCoV detected in travelers returning from Wuhan. No person-to-person spread has been detected in the United States at this time and this virus is NOT spreading in the community.

Based on current information, the immediate health risk from 2019-nCoV to the general American public is considered low at this time. However, risk is dependent on exposure and some people will have greater risk of infection, for example, healthcare workers caring for 2019-nCoV patients and other close contacts. CDC is aggressively responding to this serious public health situation to help protect the health of Americans. This response may cause disruptions in some people’s daily lives. This is unfortunate, but necessary to protect the health of Americans.

Full press release: https://www.cdc.gov/media/releases/2020/s0128-travelers-avoid-china.html

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Press release issued by the Centers for Disease Control on January 26, 2020:

The Centers for Disease Control and Prevention (CDC) has confirmed additional travel-related infections of 2019 novel coronavirus (2019-nCoV) in the United States, this time in Arizona and California. These patients recently returned to the U.S. from Wuhan, China, where an outbreak of respiratory illness caused by a novel coronavirus has been ongoing since December 2019. This brings the total number of 2019-nCoV infections detected in the United States to five -- none in Hawaii.

Full press release: https://www.cdc.gov/media/releases/2020/s0126-coronavirus-new-cases.html

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Press release issued by the Hawaii Department of Health on January 21, 2020:

Hawaii Department of Health provides guidance to healthcare providers for 2019 Novel Coronavirus outbreak in China
Everyone is advised to get a flu vaccination

The Hawaii Department of Health (DOH) is advising physicians statewide to be alert for patients who have travelled from Wuhan City, Hubei Province, China. The department sent out a detailed medical advisory to healthcare providers today on reporting, testing, specimen collection, and interim healthcare infection control recommendations for the 2019 Novel Coronavirus (2019-nCoV). Providers are advised to notify the DOH Disease Outbreak Control Division immediately if a patient meets the case criteria.

The DOH is also advising everyone (six months of age or older) and especially those who travel to receive a flu vaccination. Dr. Sarah Park, state epidemiologist, said, “With the current flu activity, there will likely be crossover in clinical presentation so the more people vaccinated against flu, the more helpful that will be.”

The DOH is closely monitoring the outbreak of 2019-nCoV occurring in China and regularly coordinating with the Centers for Disease Control and Prevention. In addition to issuing a Medical Advisory today to ensure all clinical providers are informed, the DOH is coordinating with Emergency Medical Service personnel/first responders, the Department of Transportation, and infection control partners in medical facilities throughout the state. DOH is also monitoring its well-established respiratory surveillance network which reviews flu activity in the state. Online resources for the 2019-nCoV are posted at https://health.hawaii.gov/prepare/cdc-issues-warning-about-pneumonia-cases-in-wuhan-china-caused-by-novel-coronavirus/.

An outbreak of a 2019 novel coronavirus (2019-nCoV) in Wuhan City, Hubei Province, China has been developing since December 2019. This outbreak now includes more than 300 confirmed infections and several deaths in China with confirmed cases also in Thailand, Japan, the Republic of Korea, and the United States (one case in Washington State). While human-to-human transmission appears limited, the situation continues to evolve. Nearly all travelers from China enter the state from other U.S. or international ports of entry.

If you have traveled to Wuhan and feel sick, you should do the following:

  1. Seek medical care right away. Before you go to a doctor’s office or emergency room, call ahead and tell them about your recent travel and your symptoms.
  2. Stay home. Except for seeking medical care, avoid contact with others.
  3. Not travel while sick.
  4. Cover your mouth and nose with a tissue or sleeve (not your hands) when coughing or sneezing.
  5. Wash hands often with soap and water for at least 20 seconds. Use an alcohol-based hand sanitizer if soap and water are not available.

For more information, including information for clinicians and public health professionals, please go to the following CDC and WHO webpages:

  1. wwwnc.cdc.gov/travel/notices/watch/novel-coronavirus-china
  2. www.cdc.gov/coronavirus/novel-coronavirus-2019.html
  3. www.who.int/csr/don/05-january-2020-pneumonia-of-unkown-cause-china/en/