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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.//
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