UPDATED GUIDANCE TO COMMANDERS ON ADJUSTING HEALTH PROTECTION CONDITIONS AND BASE SERVICES DURING COVID-19 PANDEMIC (CORRECTED COPY):

1 NAVADMINs are known that refer back to this one:
NAVADMIN ID Title
NAVADMIN 093/22 U.S. NAVY COVID-19 STANDARDIZED OPERATIONAL GUIDANCE 6.0(CORRECTED COPY)
UNCLASSIFIED// 
ROUTINE 
R 301952Z APR 21 MID200000818064U 
FM CNO WASHINGTON DC 
TO NAVADMIN 
INFO SECNAV WASHINGTON DC 
CNO WASHINGTON DC 
BT 
UNCLAS 
 
NAVADMIN 086/21 
 
MSGID/NAVADMIN/CNO WASHINGTON DC/CNO/APR// 
 
SUBJ/UPDATED GUIDANCE TO COMMANDERS ON ADJUSTING HEALTH PROTECTION CONDITIONS 
AND BASE SERVICES DURING COVID-19 PANDEMIC (CORRECTED COPY)// 
 
REF/A/NAVADMIN/OPNAV/20MAY2020// 
REF/B/MEMO/OSD/29APR2021// 
REF/C/OPNAV/30APR2021// 
REF/D/OPNAV/DOC/13APR2020// 
REF/E/SECNAV/MSG/231933ZMAR2020// 
REF/F/SECNAV/MEMO/30APR2021// 
REF/G/SECNAV/ALNAV/30APR2021// 
 
NARR/ REF A IS CNO GUIDANCE TO COMMANDERS ON ADJUSTING HEALTH PROTECTION 
CONDITIONS AND BASE SERVICES. 
REF B IS OUSD PR GUIDANCE FOR COMMANDERS RISK-BASED RESPONSES AND 
IMPLEMENTATION OF THE HEALTH PROTECTION CONDITION FRAMEWORK DURING 
CORONAVIRUS DISEASE 2019. 
REF C IS OPNAV OCCUPANCY EXEMPTIONS AUTHORIZATION. 
REF D IS OPNAV PREVENTION FRAMEWORK. 
REF E IS ALNAV 029-20 STATE AND LOCAL SHELTER-IN-PLACE ORDERS IMPACT ON 
DEPARTMENT OF THE NAVY OPERATIONS. 
REF F IS SECNAV MEMO DELEGATING AUTHORITIES AND AMPLIFYING HPCON GUIDANCE. 
REF G IS ALNAV 032-21 UPDATE TO DEPARTMENT OF THE NAVY HEALTH PROTECTION 
CONDITION POLICIES. 
 
RMKS/1.  REFERENCES (A) AND (D) ARE CANCELLED.  THIS NAVADMIN INTRODUCES THE 
COVID-SPECIFIC DOD-DIRECTED HEALTH PROTECTION CONDITION (HPCON) FRAMEWORK 
OUTLINED IN REF (B); IDENTIFIES HPCON IMPLEMENTATION GOVERNANCE; IDENTIFIES 
CRITERIA AND OCCUPANCY LIMITATIONS ALIGNED WITH HPCON LEVELS PER REF (B); 
AND, PROVIDES NAVY EXEMPTION PROCESS FOR OCCUPANCY LEVELS.  THIS IS A 
SIGNIFICANT CHANGE FROM REF (A). 
NAVY COMPONENT COMMANDERS (NCC) WILL USE TABLE 1 OF REF (B), ALONG WITH 
GUIDANCE SET FORTH IN REF (B) TO SET HPCON LEVELS, TRANSITION BETWEEN HPCON 
LEVELS AND DIRECT ACTIVITIES ACROSS HPCON LEVELS TO PROTECT THE FORCE AND 
PROVIDE MISSION ASSURANCE. 
 
2.  MISSION.  HPCON IS AN AGILE FRAMEWORK ENABLING MISSION ASSURANCE WHILE 
PROTECTING PERSONNEL.  DECISIONS TO CHANGE HPCON WILL BE BASED ON LOCAL 
PUBLIC HEALTH SURVEILLANCE DATA; GUIDANCE FROM THE CDC OR FROM HOST NATION 
EQUIVALENT IF OCONUS; COLLABORATION WITH STATE, TERRITORIAL, AND LOCAL 
PUBLIC HEALTH AND MEDICAL AUTHORITIES; COORDINATION BETWEEN NEARBY 
INSTALLATIONS; AND ADVICE FROM THE COMMAND PUBLIC HEALTH EMERGENCY OFFICER 
(PHEO) AND LOCAL MILITARY MEDICAL TREATMENT FACILITY (MTF). 
 
2.A.  THOSE WITH HPCON IMPLEMENTATION AUTHORITY WILL COORDINATE CHANGES IN 
HPCON LEVELS WITH OTHER MILITARY INSTALLATIONS IN THE SAME LOCAL COMMUTING 
AREA (E.G., APPROXIMATELY 30 MILES) TO THE GREATEST EXTENT PRACTICABLE TO 
ENSURE CONSISTENCY IN RESPONSE AND CONSISTENT DOD UNITY OF MESSAGING IN 
ACCORDANCE WITH REF (B) AND AMPLIFIED IN REF (F).  ASSESSMENTS MUST INCLUDE 
BOTH THE INSTALLATION AND SURROUNDING COMMUNITY.  RESOURCES TO ASSESS 
COMMUNITY TRANSMISSION RATES AND CORRESPONDING HPCON LEVELS ARE IDENTIFIED IN 
REF (B).  NCCS WILL COORDINATE HPCON CHANGES WITH COMBATANT COMMANDERS AND/OR 
SUB-UNIFIED COMMANDERS AS NEEDED.  COMMANDER, NAVAL INSTALLATIONS COMMAND 
(CNIC) AND REGIONAL COMMANDERS (REGCOM) WILL GAIN APPROVAL FROM THE 
RESPECTIVE NCC TO ADJUST HPCON.  NCC MAY DELEGATE AUTHORITY TO CHANGE HPCON 
TO THE REGION OR INSTALLATION COMMANDER, BUT MAY NOT DELEGATE TO A LEVEL 
LOWER THAN THE O-6 INSTALLATION COMMANDER. 
 
2.B.  EXTENSIVE DATA IS AVAILABLE TO INFORM THE HPCON REVIEW PROCESS VIA 
THE ADVANA COVID-19 MODELING PLATFORM.  ADVANA ACCOUNTS AND ACCESS CAN BE 
FOUND AT:  HTTPS://QLIK.ADVANA.DATA.MIL/.  NCC, FLEET AND INSTALLATION 
COMMANDERS CAN USE THIS PLATFORM TO ACCURATELY DEVELOP A COVID-19 COMMON 
OPERATIONAL PICTURE TO ENABLE DATA-INFORMED DECISION MAKING.  THE ADVANA 
SYSTEM INCLUDES LIVE DATA UPDATES ON CASES, TESTING CAPACITY, BEDS, 
PERSONNEL, SUPPLY AND LOGISTICS, GIVING COMMANDERS REAL-TIME SITUATIONAL 
AWARENESS WHILE PROJECTING IMPACTS TO READINESS.  NCC, OR DELEGATED 
AUTHORITY, WILL USE THIS HPCON TRANSITION FRAMEWORK TO INFORM DECISIONS THAT 
BALANCE OPERATIONAL READINESS, MAINTENANCE, TRAINING, EDUCATION AND THE NEEDS 
OF INSTALLATION BENEFICIARY POPULATIONS.  NCC SHOULD CONSIDER TRANSMISSION 
RATES, DISEASE TRAJECTORY AND MEDICAL FACILITY CAPABILITIES/CAPACITIES IN 
CHANGING HPCON LEVELS.  CASE-RATE THRESHOLDS SHOULD NOT BE THE SOLE 
DETERMINING FACTOR FOR AN INSTALLATIONS HPCON LEVEL.  CASE-RATES SERVE AS 
GUIDELINES FOR INTEGRATION INTO A COMPREHENSIVE REVIEW PROCESS PER REF 
(B).  ADDITIONAL ASSESSMENT MEASURES MAY INCLUDE, BUT ARE NOT LIMITED 
TO:  (1) SHORT TERM COVID-19 TRAJECTORY CHANGES IN THE LOCAL COMMUNITY; (2) 
ENVIRONMENTAL INDICATORS OF UNREPORTED COVID-19 (I.E., DETECTED IN 
WASTEWATER); AND, (3) SUPPORTING MEDICAL CAPACITY AND CAPABILITY.  REF (B) 
TABLE 1 PROVIDES CONSIDERATIONS FOR CHANGING HPCON LEVELS. 
 
2.C.  MEASURES LISTED IN TABLE 1 OF REF (B) WILL BE CONSIDERED AND MAY BE 
ADJUSTED AT EACH HPCON LEVEL BASED ON MISSION AND OTHER RISK CONSIDERATIONS, 
AND IN CONSULTATION WITH MILITARY PUBLIC HEALTH AND MEDICAL ADVISORS, TO THE 
EXTENT CONSISTENT WITH OVERARCHING DOD FHP GUIDANCE. 
DIRECTIVE MEASURES IDENTIFIED IN TABLE 1 OF REF (B) SHALL BE IMPLEMENTED IN 
ACCORDANCE WITH CORRESPONDING HPCON LEVELS. SUGGESTED MEASURES (CONSIDER, 
ENCOURAGE, ETC.) IDENTIFIED IN TABLE 1 OF REF (B) ARE PROVIDED TO MANAGE 
INSTALLATION ACCESS AND SERVICES AND INFORM AUTHORIZED AND PROHIBITED 
ACTIVITIES OFF-INSTALLATION COMMENSURATE WITH THE APPROPRIATE HPCON 
LEVEL.  NCCS MAY MODIFY HEALTH PROTECTION MEASURES IN ORDER TO PROVIDE 
MISSION ASSURANCE WHILE ENSURING FORCE HEALTH PROTECTION.  INSTALLATION 
COMMANDERS SHOULD CONSIDER THE MERITS (WITHIN THE SCOPE OF THEIR 
AUTHORIZATION) OF PROVIDING PERSONNEL ACCESS TO CONTROLLED, ON-BASE 
FACILITIES OVER UNCONTROLLED OFF-BASE FACILITIES WHEN DETERMINING SERVICES TO 
PROVIDE AS PART OF THE HPCON RISK MANAGEMENT PLAN. 
 
2.D.  IAW REF G, IMMUNIZED SAILORS WILL BE SUBJECT TO INDIVIDUAL RESTRICTIONS 
NO HIGHER THAN THOSE CORRESPONDING TO HPCON B, REGARDLESS OF THE HPCON STATUS 
OF THE INSTALLATION TO WHICH THEY ARE ASSIGNED. 
 
3.  HPCON LEVELS.  THE CRITERIA OUTLINED IN THIS NAVADMIN USE COMMUNITY 
TRANSMISSION RATES AS AN ANALYTICAL FOUNDATION FOR ASSESSMENT BY LOCAL 
COMMANDERS.  CASE-RATE THRESHOLDS SHOULD NOT BE CONSIDERED THE EXCLUSIVE 
FACTOR FOR DETERMINING HPCON LEVELS.  NCC, OR DELEGATED AUTHORITY, SHOULD 
USE THE FOLLOWING CRITERIA WHEN CONSIDERING A CHANGE TO HPCON LEVELS: 
 
3.A. HPCON D:  WIDESPREAD COMMUNITY TRANSMISSION. DAILY AVERAGE OF MORE THAN 
60 NEW CASES PER 100,000 POPULATION IN THE LAST 7 DAYS AND NO DECLINE IN 
CASES OR A DECLINE OF NEW CASES OF LESS THAN 7 DAYS. 
 
3.B. HPCON C: SUSTAINED COMMUNITY TRANSMISSION.  DAILY AVERAGE OF 31-60 NEW 
CASES PER 100,000 POPULATION IN THE LAST 7 DAYS. 
 
3.C. HPCON B+: ELEVATED COMMUNITY TRANSMISSION.  DAILY AVERAGE OF 16-30 NEW 
CASES PER 100,000 POPULATION IN THE LAST 7 DAYS. 
 
3.D. HPCON B: INCREASED COMMUNITY TRANSMISSION.  DAILY AVERAGE OF 2-15 NEW 
CASES PER 100,000 POPULATION IN THE LAST 7 DAYS. 
 
3.E. HPCON A: MINIMAL COMMUNITY TRANSMISSION.  DAILY AVERAGE OF FEWER THAN 2 
NEW CASES PER 100,000 POPULATION IN THE LAST 7 DAYS. 
 
3.F. HPCON 0: COVID-19 GLOBAL PANDEMIC DECLARATION RESCINDED.  RETURN TO 
NORMAL OPERATIONS CRITERIA WILL BE ADDRESSED IN UPDATES TO FHP SUPPLEMENTS. 
NOTE 1:  DUE TO VARIATIONS IN LOCALLY AVAILABLE COMMUNITY TRANSMISSION CASE 
RATES, PERIODICITY SHOULD BE BASED ON AVAILABLE DATA (E.G., 14 VICE 7 DAYS, 
EXTRAPOLATING CRITERIA AS APPROPRIATE, I.E. A DAILY AVERAGE OF 31-60 NEW 
CASES PER DAY PER 100,000 POPULATION IS EQUIVALENT TO 210-420 NEW CASES PER 
WEEK). 
NOTE 2:  HOST NATION AND LOCAL REQUIREMENTS MAY NECESSITATE USE OF A 
DIFFERENT PERIOD FOR CASE RATE (E.G., 7- OR 14-DAY COMPARISON). 
NOTE 3:  DOWNWARD TRAJECTORY OF DOCUMENTED COVID-19 CASES OR OF POSITIVE 
TESTS AS A PERCENT OF TOTAL TESTS OVER THE PRECEDING 7-DAY PERIOD SUPPORT A 
DECISION TO REDUCE HPCON TO THE NEXT LOWER LEVEL; LIKEWISE, UPWARD 
TRAJECTORIES SHOULD BE CONSIDERED IN DETERMINING WHETHER TO INCREASE HPCON 
LEVELS. 
 
4.  OCCUPANCY.  REF (B) LIMITS THE NUMBER OF PERSONNEL IN THE WORKPLACE BY 
MAXIMIZING REMOTE WORK, FLEXIBLE SCHEDULING, AND OTHER METHODS, SYNCHRONIZED 
WITH THE HPCON LEVEL.  IN ACCORDANCE WITH REF (B), OCCUPANCY RATES WILL BE 
CALCULATED BY COMPARING THE CURRENT DAILY IN-PERSON CENSUS WITH THE ASSIGNED 
BASELINE STRENGTH FOR THE INSTALLATION/FACILITY.  REF (B) ENCOURAGES 
COMMANDERS TO CONSIDER ADDITIONAL FACTORS INCLUDING OVERALL 
FACILITY/WORKSPACE SIZE, THEMABILITY TO SOCIAL DISTANCE, AND THE MOST 
CURRENT, APPLICABLE CDC GUIDANCE. EACH COMMANDER SHOULD ASSESS THEIR SPECIFIC 
SITUATION AND CONSIDER ALL FACTORS IN DETERMINING THE APPROPRIATE OCCUPANCY 
RATE NEEDED TO PROVIDE MISSION ASSURANCE WHILE PROTECTING OUR FORCE AND 
MINIMIZING INFECTION SPREAD.  IN CASES WHERE REQUIRED OCCUPANCY FOR MISSION 
SUCCESS EXCEEDS THE LIMITS IN REF (B), THE EXEMPTION PROCESS DESCRIBED BELOW 
SHOULD BE USED TO REQUEST OCCUPANCY LEVELS GREATER THAN AUTHORIZED BY REF 
(B).  COMMANDERS SHALL NOT REDUCE OCCUPANCY SUCH THAT CRITICAL NATIONAL 
SECURITY INTERESTS ARE JEOPARDIZED. 
 
4.A. DIRECTED OCCUPANCY RATES FOR HPCON LEVELS ARE: 
 
4.A.1. HPCON A:  LESS THAN 100% OF NORMAL OCCUPANCY IN THE WORKPLACE. 
4.A.2. HPCON B:  LESS THAN 50% OF NORMAL OCCUPANCY IN THE WORKPLACE. 
4.A.3. HPCON B+:  LESS THAN 40% OF NORMAL OCCUPANCY IN THE WORKPLACE. 
4.A.4. HPCON C:  LESS THAN 25% OF NORMAL OCCUPANCY IN THE WORKPLACE. 
4.A.5. HPCON D:  LESS THAN 15% OF NORMAL OCCUPANCY IN THE WORKPLACE. 
 
NOTE:  WHEN DETERMINING WORKFORCE OCCUPANCY LIMITS, COMMANDERS ARE ENCOURAGED 
TO CONSIDER A RANGE OF FACTORS THEY DETERMINE ARE RELEVANT, INCLUDING 
FACILITY SIZE, MITIGATION MEASURES SUCH AS PHYSICAL BARRIERS, THE ABILITY 
TO SOCIAL DISTANCE, AND THE MOST CURRENT CDC GUIDANCE.  THE OVERALL GOAL 
IS TO PROTECT OUR FORCE BY MINIMIZING THE CHANCE OF INFECTION SPREAD 
WHILE PRESERVING MISSION ASSURANCE. 
 
4.B.  OCCUPANCY LIMIT EXEMPTIONS.  OCCUPANCY EXEMPTIONS ARE AVAILABLE AS 
DESCRIBED IN REF (B).  UNIT COMMANDERS ARE REQUIRED TO ENSURE APPROPRIATE 
HEALTH PROTECTION MEASURES REMAIN IN PLACE WHILE OPERATING UNDER OCCUPANCY 
EXEMPTIONS.  UNITS WITH AN EXEMPTION ALLOWING HIGHER OCCUPANCY LEVELS 
THAN PARA 4A OF THIS NAVADMIN ARE EXPECTED TO MEET MISSION REQUIREMENTS 
AND PROTECT PERSONNEL THROUGH RIGOROUS ENFORCEMENT OF EXISTING HEALTH 
PROTECTION MEASURES. 
 
4.B.1.  EXEMPTIONS.  PER REF (C), THE FOLLOWING ACTIVITIES HAVE BEEN GRANTED 
EXEMPTIONS FROM THE OCCUPANCY RATES PROMULGATED IN REF (B):  MEDICAL 
TREATMENT FACILITIES AND EXPEDITIONARY MEDICAL FACILITIES,  NAVY INSTALLATION 
FIRST RESPONDER UNITS, FORCES SUPPORTING CRITICAL NATIONAL CAPABILITIES, NAVY 
OPERATIONAL UNITS, COMMAND HEADQUARTERS, SHIPYARDS, FLEET READINESS 
CENTERS, AND UNITS PROVIDING ESSENTIAL MISSION SUPPORT. 
 
4.B.2.  ADDITIONAL EXEMPTIONS.  AUTHORITY TO GRANT ADDITIONAL OCCUPANCY 
EXEMPTIONS IS DELEGATED TO THE RESPONSIBLE NCC, WITH FURTHER DELEGATION 
AUTHORIZED IN WRITING TO A LEVEL NO LOWER THAN A GENERAL/FLAG OFFICER IN 
THE GRADE OF O-7, SENIOR EXECUTIVE SERVICE MEMBER (OR EQUIVALENT).  A 
RECORD OF ALL OCCUPANCY EXEMPTIONS WILL BE RETAINED BY THE EXEMPTION 
AUTHORITY AND PROVIDED TO THE INSTALLATION COMMANDER AND PUBLIC HEALTH 
OFFICE. 
 
5.  ADDITIONAL CONSIDERATIONS 
 
5.A.  LOCAL, COUNTY, AND STATE REGULATIONS AND DIRECTIVES.  IN ACCORDANCE 
WITH REF (E), IF NECESSARY TO ENSURE CONTINUITY OF CRITICAL FUNCTIONS, 
FEDERAL LAW EXEMPTS MILITARY AND FEDERAL CIVILIAN PERSONNEL FROM STATE AND 
LOCAL GOVERNMENT ORDERS WHEN PERFORMING OFFICIAL DUTIES. 
 
5.B.  HIGH-RISK INDIVIDUALS.  WHEN IMPLEMENTING AN OCCUPANCY EXEMPTION, 
COMMANDERS SHALL GIVE THOSE INDIVIDUALS WHO SELF-IDENTIFY AS BEING HIGH RISK 
TO ADVERSE OUTCOMES IF INFECTED BY COVID-19, AND WHO HAVE NOT BEEN IMMUNIZED 
THROUGH VACCINATION, THE LATITUDE TO TELEWORK UNTIL REASONABLE ACCOMMODATIONS 
ARE PROVIDED.  COMMANDERS MAY DIRECT ANY EMPLOYEE TO RETURN TO THE WORKSITE 
TO PERFORM FUNCTIONS OF THEIR JOB PROVIDED THERE IS LEGITIMATE BUSINESS THAT 
CANNOT BE EFFECTIVELY PERFORMED VIA TELEWORK. SUCH DIRECTION MAY INITIATE 
REASONABLE ACCOMMODATION PROCEDURES. 
 
5.C.  TESTING AND RESTRICTION OF MOVEMENT PLANS.  CONCURRENT WITH ANY HPCON 
CHANGE, COMMANDERS SHOULD HAVE ESTABLISHED PLANS AND READY CAPACITY TO 
CONDUCT COVID-19 TESTING, CONTACT TRACING, AND RESTRICTION OF MOVEMENT OF 
THOSE INDIVIDUALS RETURNING FROM HIGH-EXPOSURE LOCATIONS, EXHIBITING 
SYMPTOMS, OR THOSE EXPOSED TO POSITIVE COVID-19 CASES. 
 
5.D.  SENTINEL SURVEILLANCE TESTING AND MONITORING PROGRAMS.  IN CONSULTATION 
WITH PHEOS AND LOCAL MTFS, INSTALLATION COMMANDERS WILL ENSURE SENTINEL 
SURVEILLANCE TESTING PROGRAMS ARE IN COMPLIANCE WITH CURRENT DOD 
REQUIREMENTS TO HELP INFORM HPCON LEVEL CHANGES.  MONITORING PROGRAMS 
SUCH AS WASTEWATER DIAGNOSTICS WILL ASSIST IN ASSESSING FORCE HEALTH. 
 
5.E.  LESSONS LEARNED.  EACH COMPONENT SHOULD UPDATE LESSONS LEARNED IN THE 
JOINT LESSONS LEARNED INFORMATION SYSTEM (HTTPS://WWW.JLLIS.MIL). 
 
6.  COMMANDERS ARE EXPECTED TO TAKE A RISK-INFORMED APPROACH, AND ALL HANDS 
ARE EXPECTED TO FOLLOW HEALTH PROTECTION MEASURES TO ACCOMPLISH THE MISSION 
WHILE PROTECTING THE FORCE.  THESE CONCEPTS ARE NOT MUTUALLY EXCLUSIVE 
AND OUR FORCE HAS SHOWN RESILIENCE IN A CHALLENGING ENVIRONMENT, COMBATING 
COVID-19 WHILE CONTINUING OUR GLOBAL MISSION. THROUGH AN ALL-HANDS EFFORT 
EMPHASIZING PERSONAL ACCOUNTABILITY, WE CAN BEGIN OUR RETURN TO NORMAL 
OPERATIONS WHILE MANAGING THE PERSISTENT RISK COVID-19 PRESENTS TO BOTH 
OUR MISSION AND FORCE. 
 
7.  RELEASED BY VADM P. G. SAWYER, DEPUTY CHIEF OF NAVAL OPERATIONS FOR 
OPERATIONS, PLANS AND STRATEGY.// 
 
BT 
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UNCLASSIFIED//