Gov. Kristi Noem unveiled a "Back to Normal Plan" for businesses and residents for the next phase of the coronavirus response.

The plans lays out actions for South Dakota residents, employers, schools and health care providers once four criteria categories are met, including a downward trajectory of documented coronavirus cases for 14 days in an area with sustained community spread.

However, some South Dakotans will never be able to return to normal because they've lost a family member to coronavirus, Noem said, adding, "My heart breaks for them."

Coronavirus:68 new cases reported in South Dakota on Tuesday

Noem emphasized personal responsibility throughout her announcement of the plan on Tuesday.

"I am not announcing any new government programs, more red tape, more prescriptive phases or tight controls. That is not South Dakota. Rather, the plan I'm unveiling today puts the power into the hands of the people where it belongs," Noem said.

But Noem warned that the state could have a large uptick in cases if residents don't stick to mitigation measures such as social distancing. She said she's prepared to take actions on counties that begin to have hot spots.

"We can't afford for everyone to go back to their normal lives and two weeks, three weeks from now, see a huge spike in infection rates and put too many people in the hospital," Noem said.

Noem's executive order urging residents who are in the at-risk population or older than 65 in Minnehaha and Lincoln counties to stay home will remain in place until May 11.

Sioux Falls currently has a "no-lingering" limiting occupants at businesses such as bars and restaurants to 10 people. TenHaken said the city is reviewing Noem's recommendations.

"We are continually analyzing data and evaluating our positions to respond rapidly to this pandemic," TenHaken said. "The city is reviewing the governor’s new recommendations as well as federal guidance on easing mitigation efforts. We will continue to adjust our local mitigation efforts as necessary to protect our community and also, get our businesses and employees back to work as quickly and safely as possible."

State increasing testing capacity

Health officials also announced new projections for hospitalizations and testing as part of the announcement. Health Secretary Kim Malsam-Rysdon said the state currently has the capacity for 3,000 tests per day, which is "well beyond what the need has been," and they'll be increasing that to 5,000 tests for the coming weeks. Noem added that the number of tests conducted each day in the state is determined by doctors ordering the test for their patients and isn't decided by the state.

State epidemiologist Josh Clayton said they're also now projecting 2,200 hospitalizations at the peak, down from a previous projection of 2,500 beds, and 600 ventilators, down from the previous projection of 1,300 ventilators. Noem said the state is still planning for 5,000 beds at the peak. Malsam-Rysdon noted that she's still expecting at least 30% of the population to contract the virus over time.

The state's projected peak is still expected in mid-June.

For the Back to Normal Plan to be implemented, the state should have a downward trajectory of influenza-like illnesses and documented coronavirus cases in the last 14 days and no case clusters that pose a risk to the public; hospital capacity to treat all patients without crisis care, adequate supply of personal protective equipment and a testing program for at-risk health care workers; and the state needs to have the capacity to rapidly investigate and contain coronavirus cases.

It'll be up to individual school districts to decide how to return to in-class learning, Noem said. Some districts have students who the school hasn't heard from since schools began distance learning and the plan will allow schools to bring students to get their learning back on track, she said.

Here's what the 'Back to Normal Plan' says for:

Individuals:

Continue to practice good hygiene

Continue to stay home when sick

Continue to practice physical distancing, as appropriate

Vulnerable individuals are at higher risk for this virus.

Accordingly, they should:

Take extra care to practice good hygiene

Avoid those who are sick or those who have been exposed to people who are sick

Consider staying home whenever possible

Employers

Encourage good hygiene and sanitation practices, especially in high-traffic areas

Encourage employees to stay home when sick

If previously operating via telework, begin transitioning employees back to the workplace

Where appropriate, screen employees for symptoms prior to entering the workplace

Enclosed Retail Businesses that Promote Public Gatherings

Resume operations in a manner that allows for reasonable physical distancing, good hygiene, and appropriate sanitation

Consider restricting occupancy and continue innovating in this uncertain environment

Schools

Continue remote learning

Consider a limited return to in-person instruction to “check in” before school year ends

Encourage good hygiene and sanitation practices, especially in high-traffic areas

Health Care Providers

Hospitals treating COVID-19 patients should reserve 30% of their hospital beds and maintain appropriate stores of PPE to meet surge demand

Other hospitals and surgery centers must have updated transfer protocols and adequate stores of independently-sourced PPE

Non-hospital healthcare can resume with adequate stores of independently sourced PPE

Continue to restrict visits to senior care facilities and hospitals

Local Governments

Consider current and future actions in light of these guidelines

See the full plan:

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