OMAHA, Neb. (AP) - Nebraska will see tighter coronavirus restrictions in less than two weeks if the number of infected people getting hospitalized continues to increase at its current rate, based on new benchmarks announced Friday.

Gov. Pete Ricketts said he will impose new social-distancing mandates on bars, restaurants and other places where people gather if the number of hospitalized virus patients rises to 25% of the state's overall hospital bed capacity.

As of Thursday night, the state's hospitals held 905 virus patients - about 20% of their current capacity, Ricketts said at a news conference. The number of patients has been growing by about 25 per day, and if that trend continues, Nebraska's hospitals would reach the 25% benchmark in about 11 days.

"This is a very serious situation for our hospitals, and we all need to be a part of slowing down the virus," Ricketts said via a video link livestreamed at the Capitol. Ricketts and his wife&nbsp;<a href="https://apnews.com/article/virus-outbreak-public-health-health-pete-ricketts-nebraska-0dcb6a3ddc8f4b87591f37e15a86ff44" target="_blank">were exposed to the virus</a>&nbsp;earlier this week during an outdoor dinner with friends.

The new potential restrictions would prohibit extracurricular activities for students below high school level, limit bars to carry-out and delivery services and cap all indoor gatherings at 10 people, among other measures. Elective surgeries such as hip and knee replacements would also have to be postponed.

If the number of hospitalized patients rises above the new threshold for even one day, the tighter restrictions would remain in place until the seven-day average of patients drops back to a safer level.

Ricketts warned Thursday that he would&nbsp;<a href="https://apnews.com/article/health-nebraska-coronavirus-pandemic-32c654e0133be1d26eaf6bb343022e79" target="_blank">order restrictions very similar to the ones that he put into effect in earlier this year</a>&nbsp;if the state's current trajectory continues.

Top doctors at Nebraska's largest hospital sounded a similar alarm Friday in a virtual news conference, but stressed that they've been preparing for more patients and that their facilities are still safe. Although beds are quickly filling, they said they still have an adequate supply of ventilators.

"With the staff we have, Nebraska is still in good hands," said Dr. Harris Frankel, chief medical officer of Nebraska Medicine.

Because hospitalizations tend to lag behind new coronavirus cases, Frankel said it's unlikely that Nebraska will be able to stem the current increases in patients over the next week.

"But we can change the trajectory through the end of November," he said.

The doctors stopped short of calling for a statewide mask mandate - a step that Ricketts, a Republican, has repeatedly refused to take - but urged residents to wear one voluntarily while in close, confined contact with other people.

"That will do an enormous amount of good," said Dr. Cary Ward, chief medical officer of CHI Health.

Frankel said: "I think there is a likely to be a higher rate of participation when something is mandated."

Nebraska confirmed 2,611 new virus cases on Thursday, bringing the total number to 92,553 since the pandemic began, according to the&nbsp;<a href="https://experience.arcgis.com/experience/ece0db09da4d4ca68252c3967aa1e9dd" target="_blank">state's online tracking portal</a>. The number of active hospitalizations has risen sharply over the last few weeks, and 756 people in Nebraska have died from the virus since the pandemic began.

The state's hospitals still have 25% of their beds available, 27% of their intensive care unit beds and 70% of their ventilators.

For most people, the virus causes mild or moderate symptoms, such as fever and cough that clear up in two to three weeks. For some, especially older adults and those with existing health problems, it can cause more severe illness, including pneumonia and death.

By GRANT SCHULTE-Associated Press OMAHA, Neb. (AP) - Nebraska will see tighter coronavirus restrictions in less than two weeks if the number of infected people getting hospitalized continues to increase at its current rate, based on new benchmarks announced Friday.Gov. Pete Ricketts said he will impose new social-distancing mandates on bars, restaurants and other places where people gather if the number of hospitalized virus patients rises to 25% of the state's overall hospital bed capacity.As of Thursday night, the state's hospitals held 905 virus patients - about 20% of their current capacity, Ricketts said at a news conference. The number of patients has been growing by about 25 per day, and if that trend continues, Nebraska's hospitals would reach the 25% benchmark in about 11 days."This is a very serious situation for our hospitals, and we all need to be a part of slowing down the virus," Ricketts said via a video link livestreamed at the Capitol. Ricketts and his wife&nbsp;<a href="https://apnews.com/article/virus-outbreak-public-health-health-pete-ricketts-nebraska-0dcb6a3ddc8f4b87591f37e15a86ff44" target="_blank">were exposed to the virus</a>&nbsp;earlier this week during an outdoor dinner with friends.The new potential restrictions would prohibit extracurricular activities for students below high school level, limit bars to carry-out and delivery services and cap all indoor gatherings at 10 people, among other measures. Elective surgeries such as hip and knee replacements would also have to be postponed.If the number of hospitalized patients rises above the new threshold for even one day, the tighter restrictions would remain in place until the seven-day average of patients drops back to a safer level.Ricketts warned Thursday that he would&nbsp;<a href="https://apnews.com/article/health-nebraska-coronavirus-pandemic-32c654e0133be1d26eaf6bb343022e79" target="_blank">order restrictions very similar to the ones that he put into effect in earlier this year</a>&nbsp;if the state's current trajectory continues.Top doctors at Nebraska's largest hospital sounded a similar alarm Friday in a virtual news conference, but stressed that they've been preparing for more patients and that their facilities are still safe. Although beds are quickly filling, they said they still have an adequate supply of ventilators."With the staff we have, Nebraska is still in good hands," said Dr. Harris Frankel, chief medical officer of Nebraska Medicine.Because hospitalizations tend to lag behind new coronavirus cases, Frankel said it's unlikely that Nebraska will be able to stem the current increases in patients over the next week."But we can change the trajectory through the end of November," he said.The doctors stopped short of calling for a statewide mask mandate - a step that Ricketts, a Republican, has repeatedly refused to take - but urged residents to wear one voluntarily while in close, confined contact with other people."That will do an enormous amount of good," said Dr. Cary Ward, chief medical officer of CHI Health.Frankel said: "I think there is a likely to be a higher rate of participation when something is mandated."Nebraska confirmed 2,611 new virus cases on Thursday, bringing the total number to 92,553 since the pandemic began, according to the&nbsp;<a href="https://experience.arcgis.com/experience/ece0db09da4d4ca68252c3967aa1e9dd" target="_blank">state's online tracking portal</a>. The number of active hospitalizations has risen sharply over the last few weeks, and 756 people in Nebraska have died from the virus since the pandemic began.The state's hospitals still have 25% of their beds available, 27% of their intensive care unit beds and 70% of their ventilators.For most people, the virus causes mild or moderate symptoms, such as fever and cough that clear up in two to three weeks. For some, especially older adults and those with existing health problems, it can cause more severe illness, including pneumonia and death.

New restrictions coming soon in Nebraska if trends continue

The North Platte Public Library is announcing its current policies and procedures, effective November 16, 2020.

·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Monday-Friday: 9:00AM – 6:00PM

·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Saturday and Sunday: Library is closed.

·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;*NEW*&nbsp;The Library’s meeting room occupancy is limited to 25% of the rated occupancy or a maximum of 19 people. All meetings must be approved by the Library Director.

·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;*NEW*&nbsp;The Creation Station (makerspace) continues to be open for certification and training. However, due to the small size of this room, everyone in the Creation Station must wear a face mask. Small group makerspace workshops are cancelled through December 31, 2020. The Creation Station room capacity is now limited to fifteen percent (15%) or three (3) people. Please call the library at 308-535-8036 X3320 to make an appointment to certify/train on a piece of equipment or schedule open build time.

·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;*NEW*&nbsp;All&nbsp;in-person Library programming has been cancelled through December 31, 2020. We&nbsp;encourage all parents to consider watching our online programming for pre-school age children on the Library’s Facebook page.

·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;All persons visiting the library are required to use hand sanitizer before entering the main area of the library. This is for the safety of all citizens to limit contamination of library materials, computer keyboards, and library surfaces from the Coronavirus. Face masks and/or face shields are strongly encouraged and recommended.

·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;There continues to be a maximum time limit of two (2) hours in the library facility. Patrons using computers in the Library’s Technology Learning (TLC) Center have a once a day maximum time limit of 60 minutes. If you need additional time (for employment applications, educational coursework, filing taxes, and similar), please communicate that to the Library Staff member in the TLC.

·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;All library staff are required to wear masks when working with the public or working in a public area; and may be further protected as their comfort level dictates.

·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;The second-floor library collections and services, including Computer Services, are available.&nbsp;Please note that due to social distancing guidelines, computer availability and technology assistance is limited.

·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Social Distancing of six feet or more is encouraged and recommended whenever/wherever possible. Face masks and/or face shields are strongly recommended.

·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;The Book Drop is open twenty-four hours a day, seven days a week. All returned items and donations must be returned in the book drop and go through a 72-hour quarantine process.

The North Platte Public Library reserves the right to modify (stricter or loosen) these provisions of service based on Health Care Directives from the West Central District Health Department and/or City of North Platte Administration.

You are using the library at your own risk. The North Platte Public Library is not responsible if you contract coronavirus or any other communicable disease. We are taking all precautions to protect our staff and our patrons.

News Release NP Public LibraryThe North Platte Public Library is announcing its current policies and procedures, effective November 16, 2020.HOURS OF OPERATION·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Monday-Friday: 9:00AM – 6:00PM·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Saturday and Sunday: Library is closed.RESTRICTIONS/MODIFICATIONS·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;*NEW*&nbsp;The Library’s meeting room occupancy is limited to 25% of the rated occupancy or a maximum of 19 people. All meetings must be approved by the Library Director.·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;*NEW*&nbsp;The Creation Station (makerspace) continues to be open for certification and training. However, due to the small size of this room, everyone in the Creation Station must wear a face mask. Small group makerspace workshops are cancelled through December 31, 2020. The Creation Station room capacity is now limited to fifteen percent (15%) or three (3) people. Please call the library at 308-535-8036 X3320 to make an appointment to certify/train on a piece of equipment or schedule open build time.·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;*NEW*&nbsp;All&nbsp;in-person Library programming has been cancelled through December 31, 2020. We&nbsp;encourage all parents to consider watching our online programming for pre-school age children on the Library’s Facebook page.·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;All persons visiting the library are required to use hand sanitizer before entering the main area of the library. This is for the safety of all citizens to limit contamination of library materials, computer keyboards, and library surfaces from the Coronavirus. Face masks and/or face shields are strongly encouraged and recommended.·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;There continues to be a maximum time limit of two (2) hours in the library facility. Patrons using computers in the Library’s Technology Learning (TLC) Center have a once a day maximum time limit of 60 minutes. If you need additional time (for employment applications, educational coursework, filing taxes, and similar), please communicate that to the Library Staff member in the TLC.·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;All library staff are required to wear masks when working with the public or working in a public area; and may be further protected as their comfort level dictates.·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;The second-floor library collections and services, including Computer Services, are available.&nbsp;Please note that due to social distancing guidelines, computer availability and technology assistance is limited.·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Social Distancing of six feet or more is encouraged and recommended whenever/wherever possible. Face masks and/or face shields are strongly recommended.·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;The Book Drop is open twenty-four hours a day, seven days a week. All returned items and donations must be returned in the book drop and go through a 72-hour quarantine process.The North Platte Public Library reserves the right to modify (stricter or loosen) these provisions of service based on Health Care Directives from the West Central District Health Department and/or City of North Platte Administration.You are using the library at your own risk. The North Platte Public Library is not responsible if you contract coronavirus or any other communicable disease. We are taking all precautions to protect our staff and our patrons.

North Platte Public Library announces changes to hours, policies 

With the rising cases of COVID-19, the North Platte Community Playhouse is canceling upcoming showings of Movies at the Fox.

The Playhouse had planned to start movies back up this weekend, but with the large increase in positive cases and the fact that the Community Risk Dial moved to "Extreme," organizers felt that the safety of the community should come first.

You can stay up to date with future events at the North Platte Community Playhouse by visiting northplattecommunityplayhouse.com.

With the rising cases of COVID-19, the North Platte Community Playhouse is canceling upcoming showings of Movies at the Fox.The Playhouse had planned to start movies back up this weekend, but with the large increase in positive cases and the fact that the Community Risk Dial moved to "Extreme," organizers felt that the safety of the community should come first.You can stay up to date with future events at the North Platte Community Playhouse by visiting northplattecommunityplayhouse.com.

Movies at the Fox canceled due to COVID concerns

The COVID-19 Community Risk Dial has been moved into the red or severe level by the West Central District Health Department.

According to WCDHD,&nbsp; the risk dial moved from a 3.12 up to a 3.65 this week, which moved
to the severe risk level. There were changes in the following
variables that contributed to movement in the dial:

Officials say we had an increase in the following:

The COVID-19 Risk Dial provides
recommended guidance to help prevent and control the spread of
COVID-19. 


While in the Severe Risk category,
physical distance of 6 feet or greater, wearing face coverings when
outside the home, frequent handwashing (or use of hand sanitizer),
staying home if you are having flu-like or COVID-like symptoms,
disinfecting high touch surfaces, and having at-risk and vulnerable
people remain home are recommended as the greatest tools in reducing
the spread of COVID-19. 

For more information on recommendations for
the various risk categories of the WCDHD Community Risk Dial, please
visit the <a href="https://wcdhd.org/coronavirus/risk-dial.html">COVID-19 Risk Dial page on our website.</a>

View the WCDHD COVID-19 Dashboard <a href="https://public.tableau.com/profile/sydney.keller5172#!/vizhome/WestCentralDistrictHealthDepartmentCOVID-19Dashboard/CaseInformation">HERE</a>

<figure>
 <img src="https://media.eaglewebservices.com/public/2020/11/1605226182131.png" alt="As of November 12, 2020" />
 <figcaption>As of November 12, 2020</figcaption>
 </figure>The COVID-19 Community Risk Dial has been moved into the red or severe level by the West Central District Health Department.According to WCDHD,&nbsp; the risk dial moved from a 3.12 up to a 3.65 this week, which moved
to the severe risk level. There were changes in the following
variables that contributed to movement in the dial:Officials say we had an increase in the following:<ul>
 <li>Measure ID R0: Positivity Rate
	(Overall)
	</li><li>Measure ID R4: Average Daily
	Hospitalization
	</li><li>Measure ID R5: ICU Availability
	</li><li>Measure ID R6: Ventilator
	Availability
	</li><li>Measure ID R9: Testing Turnaround
	Time
</li>
 </ul>The COVID-19 Risk Dial provides
recommended guidance to help prevent and control the spread of
COVID-19. 
While in the Severe Risk category,
physical distance of 6 feet or greater, wearing face coverings when
outside the home, frequent handwashing (or use of hand sanitizer),
staying home if you are having flu-like or COVID-like symptoms,
disinfecting high touch surfaces, and having at-risk and vulnerable
people remain home are recommended as the greatest tools in reducing
the spread of COVID-19. For more information on recommendations for
the various risk categories of the WCDHD Community Risk Dial, please
visit the <a href="https://wcdhd.org/coronavirus/risk-dial.html">COVID-19 Risk Dial page on our website.</a>View the WCDHD COVID-19 Dashboard <a href="https://public.tableau.com/profile/sydney.keller5172#!/vizhome/WestCentralDistrictHealthDepartmentCOVID-19Dashboard/CaseInformation">HERE</a>

WCDHD moves risk dial into Red level as cases continue to climb

OMAHA, Neb. (AP) - Nebraska Gov. Pete Ricketts threatened Thursday to reimpose the same social-distancing restrictions that forced some businesses to close this spring if the record number of coronavirus cases and hospitalizations continues to rise, but he remained opposed to a statewide mask mandate.

Ricketts said he's concerned that the sharp increase in cases over the last month will soon overwhelm the state's hospitals, a chaotic situation that would almost certainly lead to more deaths.

"If we see hospitalizations continue to increase, we will be taking additional restrictive measures," he said at a news conference via a video link, after&nbsp;<a href="https://apnews.com/article/virus-outbreak-public-health-health-pete-ricketts-nebraska-0dcb6a3ddc8f4b87591f37e15a86ff44" target="_blank">he and Nebraska first lady Susanne Shore were exposed to the virus</a>&nbsp;earlier this week.

Ricketts, a Republican, never issued a formal stay-at-home order as most other states did, but his "directed health measures" earlier this year had a similar effect.

Public gatherings&nbsp;<a href="https://apnews.com/article/3cb2249439728b35e064de257d084faf" target="_blank">were limited to 10 people</a>. Salons, tattoo parlors and nearly all bars were forced to close. Schools, daycares, gyms and libraries had to cap the number of people in a room at one time. Restaurants were restricted to take-out or delivery service only, and all but the very smallest church services, weddings, funerals, and sporting events were canceled.

"All of those options are on the table," Ricketts said as he implored residents to follow the state's voluntary guidelines, which encourage mask-wearing, social distancing, and frequent hand-washing.

Ricketts said he's still opposed to a statewide mask mandate, arguing previously that it breeds resentment among residents and may be difficult to enforce.

His dire warning came as Nebraska reported more than 2,000 new coronavirus cases for the second day in a row Wednesday and the number of people hospitalized with COVID-19 remains at record levels in the state.

The state said 2,209 new virus cases and one death were reported Wednesday to give the state 89,942 cases and 731 deaths. And the number of people hospitalized with the virus increased to set another new record at 885.

The surge in cases has significantly increased demand for testing. At sites run by the state's main testing service, TestNebraska, the wait to get a test increased to 48 hours this week at most sites in Omaha and Lincoln. Officials with the state Department of Health and Human Services said testing capacity was increased in those cities recently to help meet the demand.

The state continues to have the sixth-highest rate of infection, according to data from Johns Hopkins University, and over the past week, one person in every 137 people in Nebraska was diagnosed with COVID-19.

The seven-day rolling average of daily new cases in Nebraska has more than doubled over the past two weeks, going from 852.43 new cases per day on Oct. 28 to 1,953.29 new cases per day on Wednesday.

For most people, the new virus causes mild or moderate symptoms, such as fever and cough that clear up in two to three weeks. For some, especially older adults and those with existing health problems, it can cause more severe illness, including pneumonia and death.

Ricketts has spent the last several days underscoring the pandemic's seriousness with stories from residents who were hospitalized with the virus. Steve Schrader, of Omaha, spent 37 days in the hospital and 19 days on a respirator after contracting the virus. His wife, Ann Schrader, called the experience "gut-wrenching, to say the least."

"It's Russian roulette," she said. "People who get it don't know if they'll have slight symptoms, no symptoms, or end up on a ventilator."

Steve Schrader said he initially believed his symptoms were allergies, but his condition quickly worsened. He said he has mostly recovered but still worries about the virus's impact on his health.

"We're still learning what (the virus) does to us and what the long-term issues are," he said.

Even though Ricketts has already reinstated some restrictions, Nebraska's top public health official urged residents to start acting as they did in the spring, when the state's coronavirus caseload was more manageable.

"Please, we need to slow this down," said Dr. Gary Anthone, Nebraska's chief medical officer. "We have to do what we did back in the spring. We have to limit our gatherings, we have to wear masks, and have to wash our hands."

<figure>
 <img src="https://media.eaglewebservices.com/public/2020/11/1605223691841.png" alt="" />
 <figcaption></figcaption>
 </figure>By GRANT SCHULTE-Associated Press OMAHA, Neb. (AP) - Nebraska Gov. Pete Ricketts threatened Thursday to reimpose the same social-distancing restrictions that forced some businesses to close this spring if the record number of coronavirus cases and hospitalizations continues to rise, but he remained opposed to a statewide mask mandate.Ricketts said he's concerned that the sharp increase in cases over the last month will soon overwhelm the state's hospitals, a chaotic situation that would almost certainly lead to more deaths."If we see hospitalizations continue to increase, we will be taking additional restrictive measures," he said at a news conference via a video link, after&nbsp;<a href="https://apnews.com/article/virus-outbreak-public-health-health-pete-ricketts-nebraska-0dcb6a3ddc8f4b87591f37e15a86ff44" target="_blank">he and Nebraska first lady Susanne Shore were exposed to the virus</a>&nbsp;earlier this week.Ricketts, a Republican, never issued a formal stay-at-home order as most other states did, but his "directed health measures" earlier this year had a similar effect.Public gatherings&nbsp;<a href="https://apnews.com/article/3cb2249439728b35e064de257d084faf" target="_blank">were limited to 10 people</a>. Salons, tattoo parlors and nearly all bars were forced to close. Schools, daycares, gyms and libraries had to cap the number of people in a room at one time. Restaurants were restricted to take-out or delivery service only, and all but the very smallest church services, weddings, funerals, and sporting events were canceled."All of those options are on the table," Ricketts said as he implored residents to follow the state's voluntary guidelines, which encourage mask-wearing, social distancing, and frequent hand-washing.Ricketts said he's still opposed to a statewide mask mandate, arguing previously that it breeds resentment among residents and may be difficult to enforce.His dire warning came as Nebraska reported more than 2,000 new coronavirus cases for the second day in a row Wednesday and the number of people hospitalized with COVID-19 remains at record levels in the state.The state said 2,209 new virus cases and one death were reported Wednesday to give the state 89,942 cases and 731 deaths. And the number of people hospitalized with the virus increased to set another new record at 885.The surge in cases has significantly increased demand for testing. At sites run by the state's main testing service, TestNebraska, the wait to get a test increased to 48 hours this week at most sites in Omaha and Lincoln. Officials with the state Department of Health and Human Services said testing capacity was increased in those cities recently to help meet the demand.The state continues to have the sixth-highest rate of infection, according to data from Johns Hopkins University, and over the past week, one person in every 137 people in Nebraska was diagnosed with COVID-19.The seven-day rolling average of daily new cases in Nebraska has more than doubled over the past two weeks, going from 852.43 new cases per day on Oct. 28 to 1,953.29 new cases per day on Wednesday.For most people, the new virus causes mild or moderate symptoms, such as fever and cough that clear up in two to three weeks. For some, especially older adults and those with existing health problems, it can cause more severe illness, including pneumonia and death.Ricketts has spent the last several days underscoring the pandemic's seriousness with stories from residents who were hospitalized with the virus. Steve Schrader, of Omaha, spent 37 days in the hospital and 19 days on a respirator after contracting the virus. His wife, Ann Schrader, called the experience "gut-wrenching, to say the least.""It's Russian roulette," she said. "People who get it don't know if they'll have slight symptoms, no symptoms, or end up on a ventilator."Steve Schrader said he initially believed his symptoms were allergies, but his condition quickly worsened. He said he has mostly recovered but still worries about the virus's impact on his health."We're still learning what (the virus) does to us and what the long-term issues are," he said.Even though Ricketts has already reinstated some restrictions, Nebraska's top public health official urged residents to start acting as they did in the spring, when the state's coronavirus caseload was more manageable."Please, we need to slow this down," said Dr. Gary Anthone, Nebraska's chief medical officer. "We have to do what we did back in the spring. We have to limit our gatherings, we have to wear masks, and have to wash our hands."

Ricketts warns he may reimpose spring virus restrictions


As
hospitalizations due to COVID-19 continue to rise across the nation
and with Nebraska seeing an all-time high in hospitalizations,
hospitals across the state are nearing capacity. Great Plains Health
is no exception. 


“To
date, we have not exceeded capacity, but that could change very
quickly,” said Mel McNea, Great Plains Health chief executive
officer. “Hospital capacity fluctuates based on several factors
that, at times, vary by the hour.” Currently, Great Plains Health
has approximately 76 staffed beds and nearly 30 of those beds are
occupied by COVID-19 patients. 


“Mel
McNea, our CEO, is administrator-on-call this week, which means that
he is evaluating every case, every day to ensure we are still able to
provide safe care to our region,” said Megan McGown, marketing
manager. “Hospital leadership is assessing services to match care
demands, bed availability and staffing.” 


“Much
like hospitals across the state, we are about as full as we can get
and still serve the needs of the region,” said McNea. “This is a
fluid situation with staff availability, varying acuity of patients
and the resources needed to care for COVID patients, treat traumas
and continuing to care for sick patients. The capacity issue is not
unique to Great Plains Health. Across Nebraska, there are only 26
percent of beds available and that number is shrinking quickly.”

“We
need every member of our community to help change the course of this
disease,” said McNea. “We are pleading with you all to do the
actions that we know work: wear a mask, wash your hands, avoid
gatherings, stay home when you are sick and maintain a six-foot
social distance from others.”

<figure>
 <img src="https://media.eaglewebservices.com/public/2020/11/1605223017076.png" alt="Photo: Pixabay.com" />
 <figcaption>Photo: Pixabay.com</figcaption>
 </figure>News Release GPH
As
hospitalizations due to COVID-19 continue to rise across the nation
and with Nebraska seeing an all-time high in hospitalizations,
hospitals across the state are nearing capacity. Great Plains Health
is no exception. 
“To
date, we have not exceeded capacity, but that could change very
quickly,” said Mel McNea, Great Plains Health chief executive
officer. “Hospital capacity fluctuates based on several factors
that, at times, vary by the hour.” Currently, Great Plains Health
has approximately 76 staffed beds and nearly 30 of those beds are
occupied by COVID-19 patients. 
“Mel
McNea, our CEO, is administrator-on-call this week, which means that
he is evaluating every case, every day to ensure we are still able to
provide safe care to our region,” said Megan McGown, marketing
manager. “Hospital leadership is assessing services to match care
demands, bed availability and staffing.” 
“Much
like hospitals across the state, we are about as full as we can get
and still serve the needs of the region,” said McNea. “This is a
fluid situation with staff availability, varying acuity of patients
and the resources needed to care for COVID patients, treat traumas
and continuing to care for sick patients. The capacity issue is not
unique to Great Plains Health. Across Nebraska, there are only 26
percent of beds available and that number is shrinking quickly.”“We
need every member of our community to help change the course of this
disease,” said McNea. “We are pleading with you all to do the
actions that we know work: wear a mask, wash your hands, avoid
gatherings, stay home when you are sick and maintain a six-foot
social distance from others.”

Great Plains Health, Nebraska hospitals nearing capacity as COVID hospitalizations rise

The West Central District Health Department reported another in positive COVID-19 cases in their jurisdiction on Wednesday.

According to WCDHD, there were 82 new positive cases in the WCDHD jurisdiction. Officials say one case is from Hooker County, one case is from Arthur County, one case is from McPherson County, two cases are from Logan County, and 77 cases are from Lincoln County. 

There are currently 1,158 active cases of COVID-19 in the WCDHD jurisdiction. 46 people are currently hospitalized.

For more information, visit the <a href="https://public.tableau.com/profile/sydney.keller5172#!/vizhome/WestCentralDistrictHealthDepartmentCOVID-19Dashboard/CaseInformation">WCDHD COVID-19 Dashboard</a>.&nbsp;

The West Central District Health Department reported another in positive COVID-19 cases in their jurisdiction on Wednesday.According to WCDHD, there were 82 new positive cases in the WCDHD jurisdiction. Officials say one case is from Hooker County, one case is from Arthur County, one case is from McPherson County, two cases are from Logan County, and 77 cases are from Lincoln County. There are currently 1,158 active cases of COVID-19 in the WCDHD jurisdiction. 46 people are currently hospitalized.For more information, visit the <a href="https://public.tableau.com/profile/sydney.keller5172#!/vizhome/WestCentralDistrictHealthDepartmentCOVID-19Dashboard/CaseInformation">WCDHD COVID-19 Dashboard</a>.&nbsp;<figure>
 <img src="https://media.eaglewebservices.com/public/2020/11/1605183571445.png" alt="covid update november 11 2020.png" />
 <figcaption>covid update november 11 2020.png</figcaption>
 </figure>

82 new positive COVID cases in WCDHD jurisdiction

The West Central District Health Department is very busy and is asking residents to limit direct contact to their office when possible.&nbsp;

WCDHD is asking residents to limit calls, texts, and emails to their office and website if possible. WCDHD says the goal is to keep lines open for those who have tested positive or have immediate needs. When calling, you will be asked to explain the urgency of your call and your call will be answered accordingly.

WCDHD offered the following information to help offset direct communications.

• Medical emergency calls should be made to your medical provider,  911, or by visiting your local Emergency room if necessary.   

Due to the increased volume of positive COVID-19 cases and calls into the office, WCDHD staff are inundated and currently do not have the capacity to address all requests and calls that are flooding into our office. Officials say their department is prioritizing energies on investigating the surge of positive cases within our jurisdiction. Staff have an unmanageable workload at this time and are asking community members to do their part.   

• If you have been exposed to a lab-confirmed case, testing is important but shouldn’t be immediately following the exposure.  Schedule testing within 5 to 7 days of exposure.  If exposed to an individual who is a lab-confirmed COVID-19, you MUST quarantine for 14 days following the last date of exposure.      

• You CANNOT test out of quarantine. If you were exposed to a lab-confirmed case and test negative, you MUST complete your 14 days of quarantine.    

• Register for testing <a href="https://www.testnebraska.com/en">HERE</a>

• IF YOU ARE UNABLE TO CONNECT WITH TESTING IN A TIMELY MANNER (5 to 7 days from exposure or are currently experiencing signs and symptoms of COVID-19), please complete this <a href="https://nalhd.sjc1.qualtrics.com/jfe/form/SV_6nEStlmWeg6Cubz">form</a>.

Documentation of, or Release from, Quarantine and Isolation

• Notice of 3 business days is REQUIRED if you are needing a document outlining your quarantine/isolation dates, or a return to work or school release. All requests for COVID-19 Related Letters MUST be submitted <a href="https://nalhd.sjc1.qualtrics.com/jfe/form/SV_eVxS16v3yCaXjQ9">HERE.</a>

Questions About the Current Directed Health Measure

• The current DHM can be found <a href="http://dhhs.ne.gov/Documents/WCHD-DHM-November9.pdf">HERE</a>

• Event plans can be submitted at the following <a href="https://nalhd.sjc1.qualtrics.com/jfe/form/SV_1C6qlks0VXX6n53">HERE</a>

If the above information does not answer your questions, you may also contact us through our online system by clicking <a href="https://wcdhd.org/questions.html">HERE</a>.

*Your questions are important to us and will be returned as soon as possible. Questions that can be answered through the above links will not be addressed separately through the contact us link. 

Please be as specific as possible including your name, an email address, phone number, and a detailed message. Your message will be disseminated to the appropriate person and they will get back to you as soon as possible.   

• If you are positive for COVID-19 or have signs and symptoms of COVID-19 ISOLATE IMMEDIATELY.  

• If you are a direct contact with a positive COVID-19 individual, QUARANTINE IMMEDIATELY for 14 days from the last date of exposure and schedule testing 5-7 days after the last date of exposure.

The West Central District Health Department is very busy and is asking residents to limit direct contact to their office when possible.&nbsp;WCDHD is asking residents to limit calls, texts, and emails to their office and website if possible. WCDHD says the goal is to keep lines open for those who have tested positive or have immediate needs. When calling, you will be asked to explain the urgency of your call and your call will be answered accordingly.WCDHD offered the following information to help offset direct communications.• Medical emergency calls should be made to your medical provider, 911, or by visiting your local Emergency room if necessary. Due to the increased volume of positive COVID-19 cases and calls into the office, WCDHD staff are inundated and currently do not have the capacity to address all requests and calls that are flooding into our office. Officials say their department is prioritizing energies on investigating the surge of positive cases within our jurisdiction. Staff have an unmanageable workload at this time and are asking community members to do their part. Testing Information • If you have been exposed to a lab-confirmed case, testing is important but shouldn’t be immediately following the exposure. Schedule testing within 5 to 7 days of exposure. If exposed to an individual who is a lab-confirmed COVID-19, you MUST quarantine for 14 days following the last date of exposure. • You CANNOT test out of quarantine. If you were exposed to a lab-confirmed case and test negative, you MUST complete your 14 days of quarantine. • Register for testing <a href="https://www.testnebraska.com/en">HERE</a>• IF YOU ARE UNABLE TO CONNECT WITH TESTING IN A TIMELY MANNER (5 to 7 days from exposure or are currently experiencing signs and symptoms of COVID-19), please complete this <a href="https://nalhd.sjc1.qualtrics.com/jfe/form/SV_6nEStlmWeg6Cubz">form</a>.Documentation of, or Release from, Quarantine and Isolation• Notice of 3 business days is REQUIRED if you are needing a document outlining your quarantine/isolation dates, or a return to work or school release. All requests for COVID-19 Related Letters MUST be submitted <a href="https://nalhd.sjc1.qualtrics.com/jfe/form/SV_eVxS16v3yCaXjQ9">HERE.</a>Questions About the Current Directed Health Measure• The current DHM can be found <a href="http://dhhs.ne.gov/Documents/WCHD-DHM-November9.pdf">HERE</a>• Event plans can be submitted at the following <a href="https://nalhd.sjc1.qualtrics.com/jfe/form/SV_1C6qlks0VXX6n53">HERE</a>If the above information does not answer your questions, you may also contact us through our online system by clicking <a href="https://wcdhd.org/questions.html">HERE</a>.*Your questions are important to us and will be returned as soon as possible. Questions that can be answered through the above links will not be addressed separately through the contact us link. Please be as specific as possible including your name, an email address, phone number, and a detailed message. Your message will be disseminated to the appropriate person and they will get back to you as soon as possible. REMEMBER• If you are positive for COVID-19 or have signs and symptoms of COVID-19 ISOLATE IMMEDIATELY. • If you are a direct contact with a positive COVID-19 individual, QUARANTINE IMMEDIATELY for 14 days from the last date of exposure and schedule testing 5-7 days after the last date of exposure.

WCDHD asks residents to limit calls, texts to office

GILLETTE, Wyo. (AP) — The son of a Wyoming state representative who opposed COVID-19 public restrictions says his father was positive for the coronavirus when he died. 

The Gillette News Record reports Roy Edwards, 66, died Nov. 2 at Wyoming Medical Center in Casper after being hospitalized for more than a week with an undisclosed illness.

 Mitch Edwards says his father was initially told he had a sinus inflammation and did not need to be tested for COVID-19.

 Edwards continued to oppose public restrictions resulting from the pandemic during his recent campaign to retain his House seat. 

GILLETTE, Wyo. (AP) — The son of a Wyoming state representative who opposed COVID-19 public restrictions says his father was positive for the coronavirus when he died. The Gillette News Record reports Roy Edwards, 66, died Nov. 2 at Wyoming Medical Center in Casper after being hospitalized for more than a week with an undisclosed illness. Mitch Edwards says his father was initially told he had a sinus inflammation and did not need to be tested for COVID-19. Edwards continued to oppose public restrictions resulting from the pandemic during his recent campaign to retain his House seat. He was reelected the day after he died.

Wyoming state lawmaker had COVID-19 when he died, son says

OMAHA, Neb. (AP) - Nebraska continues to set records with the number of people hospitalized with the coronavirus and health care providers expect that to continue because of the recent surge of cases in the state.

Cliff Robertson, CEO of CHI Health, said his group of 14 hospitals in eastern Nebraska and western Iowa is preparing for COVID-19 cases to keep increasing over the next three to four weeks. He said COVID-19 patients already account for about 25% of all the patients in his hospitals.

"We highly encourage folks to take this seriously because ... this virus is rampant in our community right now. It is everywhere and is spreading quickly," Robertson said.

The steady increase in cases raises the concern that hospitals could soon be overwhelmed, said Dr. James Lawler, an infectious diseases specialist at Nebraska Medicine in Omaha.

"In three weeks' time, our hospitals will be overwhelmed and we will no longer be able to deliver optimal and effective care for COVID, and we will also no longer be able to deliver appropriate care for everyone who comes in with a heart attack or a stroke," Lawler said this week.

New restrictions to limit the spread of the virus in the state took effect Wednesday. Those rules include requiring masks at businesses where employees have close contact with customers for more than 15 minutes, such as barber shops, and limiting large indoor gatherings to 25% of a building's capacity. Bars and restaurants can continue operating as long as they maintain 6 feet of distance between tables.

Masks are required in the state's largest communities of Omaha and Lincoln, but&nbsp;<a href="https://apnews.com/article/virus-outbreak-public-health-health-pete-ricketts-nebraska-0dcb6a3ddc8f4b87591f37e15a86ff44" target="_blank">Gov. Pete Ricketts</a>&nbsp;continues to reject imposing a statewide mask mandate.

The state said the number of virus hospitalizations jumped to 860 on Tuesday from the previous day's 820. Nebraska also reported its second-highest one-day total of new cases at 2,182 to give the state a total of 87,733 illnesses since the pandemic began.

Twenty new deaths linked to the virus were also reported Tuesday to give the state 730 deaths, and the rate of new cases in the state ranked sixth-highest in the nation.

Over the past week, one out of every 141 people in Nebraska was diagnosed with COVID-19, according to data from Johns Hopkins University.

The 7-day rolling average of daily new cases in Nebraska also increased over the past two weeks from 811.71 new cases per day on Oct. 27 to 1,847.29 new cases per day on Tuesday.

By JOSH FUNK-Associated Press OMAHA, Neb. (AP) - Nebraska continues to set records with the number of people hospitalized with the coronavirus and health care providers expect that to continue because of the recent surge of cases in the state.Cliff Robertson, CEO of CHI Health, said his group of 14 hospitals in eastern Nebraska and western Iowa is preparing for COVID-19 cases to keep increasing over the next three to four weeks. He said COVID-19 patients already account for about 25% of all the patients in his hospitals."We highly encourage folks to take this seriously because ... this virus is rampant in our community right now. It is everywhere and is spreading quickly," Robertson said.The steady increase in cases raises the concern that hospitals could soon be overwhelmed, said Dr. James Lawler, an infectious diseases specialist at Nebraska Medicine in Omaha."In three weeks' time, our hospitals will be overwhelmed and we will no longer be able to deliver optimal and effective care for COVID, and we will also no longer be able to deliver appropriate care for everyone who comes in with a heart attack or a stroke," Lawler said this week.New restrictions to limit the spread of the virus in the state took effect Wednesday. Those rules include requiring masks at businesses where employees have close contact with customers for more than 15 minutes, such as barber shops, and limiting large indoor gatherings to 25% of a building's capacity. Bars and restaurants can continue operating as long as they maintain 6 feet of distance between tables.Masks are required in the state's largest communities of Omaha and Lincoln, but&nbsp;<a href="https://apnews.com/article/virus-outbreak-public-health-health-pete-ricketts-nebraska-0dcb6a3ddc8f4b87591f37e15a86ff44" target="_blank">Gov. Pete Ricketts</a>&nbsp;continues to reject imposing a statewide mask mandate.The state said the number of virus hospitalizations jumped to 860 on Tuesday from the previous day's 820. Nebraska also reported its second-highest one-day total of new cases at 2,182 to give the state a total of 87,733 illnesses since the pandemic began.Twenty new deaths linked to the virus were also reported Tuesday to give the state 730 deaths, and the rate of new cases in the state ranked sixth-highest in the nation.Over the past week, one out of every 141 people in Nebraska was diagnosed with COVID-19, according to data from Johns Hopkins University.The 7-day rolling average of daily new cases in Nebraska also increased over the past two weeks from 811.71 new cases per day on Oct. 27 to 1,847.29 new cases per day on Tuesday.

Nebraska hospitals plan for more increases in virus cases

NORTH PLATTE, Neb.-Cases of COVID-19 continue to rise in the West Central District Health Department's jurisdiction.

On Tuesday, WCDHD reported 250 new confirmed cases in their jurisdiction since Friday.

WCHD does not update numbers on the weekends, therefore, this number includes the weekend and Monday.

There are currently 1,088 active cases of COVID-19 in WCDHD's jurisdiction, with 44 people currently hospitalized.&nbsp;

Officials strongly urge citizens to wear facial coverings and practice social distancing.

Effective Wednesday, new Directed Health Measures will go into effect for all 93 Nebraska Counties. The DHMs for each county can be viewed <a href="https://northplattepost.com/posts/334f12ea-ac29-4507-82a4-c945dc856875">HERE</a>.

For more information, visit the <a href="https://public.tableau.com/profile/sydney.keller5172#!/vizhome/WestCentralDistrictHealthDepartmentCOVID-19Dashboard/CaseInformation">WCDHD COVID-19 Dashboard</a>.

NORTH PLATTE, Neb.-Cases of COVID-19 continue to rise in the West Central District Health Department's jurisdiction.On Tuesday, WCDHD reported 250 new confirmed cases in their jurisdiction since Friday.WCHD does not update numbers on the weekends, therefore, this number includes the weekend and Monday.There are currently 1,088 active cases of COVID-19 in WCDHD's jurisdiction, with 44 people currently hospitalized.&nbsp;Officials strongly urge citizens to wear facial coverings and practice social distancing.Effective Wednesday, new Directed Health Measures will go into effect for all 93 Nebraska Counties. The DHMs for each county can be viewed <a href="https://northplattepost.com/posts/334f12ea-ac29-4507-82a4-c945dc856875">HERE</a>.For more information, visit the <a href="https://public.tableau.com/profile/sydney.keller5172#!/vizhome/WestCentralDistrictHealthDepartmentCOVID-19Dashboard/CaseInformation">WCDHD COVID-19 Dashboard</a>.

WCDHD reports 250 new cases of COVID in jurisdiction since Friday

All&nbsp;Nebraska counties are under Directed Health Measures from November 11 through November 30. These Directed Health Measures apply to every health department jurisdiction in the state.

Adams<a href="http://dhhs.ne.gov/Documents/SHHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

<a href="http://dhhs.ne.gov/Documents/SHHD-DHM-November9.pdf" target="_blank"></a>Antelope<a href="http://dhhs.ne.gov/Documents/NCHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/NCHD-DHM-November9.pdf" target="_blank"></a>

Arthur<a href="http://dhhs.ne.gov/Documents/WCHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

<a href="http://dhhs.ne.gov/Documents/WCHD-DHM-November9.pdf" target="_blank"></a>Banner<a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank"></a>

Blaine<a href="http://dhhs.ne.gov/Documents/LBHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

Boone<a href="http://dhhs.ne.gov/Documents/ECHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

<a href="http://dhhs.ne.gov/Documents/ECHD-DHM-November9.pdf" target="_blank"></a>Box Butte<a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank"></a>

Boyd<a href="http://dhhs.ne.gov/Documents/NCHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

<a href="http://dhhs.ne.gov/Documents/NCHD-DHM-November9.pdf" target="_blank"></a>Brown<a href="http://dhhs.ne.gov/Documents/NCHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/NCHD-DHM-November9.pdf" target="_blank"></a>

Buffalo<a href="http://dhhs.ne.gov/Documents/2RHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

Butler<a href="http://dhhs.ne.gov/Documents/FCHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

Cedar<a href="http://dhhs.ne.gov/Documents/NEHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

<a href="http://dhhs.ne.gov/Documents/NEHD-DHM-November9.pdf" target="_blank"></a>Chase<a href="http://dhhs.ne.gov/Documents/SWHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/SWHD-DHM-November9.pdf" target="_blank"></a>

Cherry<a href="http://dhhs.ne.gov/Documents/NCHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

<a href="http://dhhs.ne.gov/Documents/NCHD-DHM-November9.pdf" target="_blank"></a>Cheyenne<a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank"></a>

Clay<a href="http://dhhs.ne.gov/Documents/SHHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

<a href="http://dhhs.ne.gov/Documents/SHHD-DHM-November9.pdf" target="_blank"></a>Colfax<a href="http://dhhs.ne.gov/Documents/ECHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/ECHD-DHM-November9.pdf" target="_blank"></a>

Cuming<a href="http://dhhs.ne.gov/Documents/ELHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

<a href="http://dhhs.ne.gov/Documents/ELHD-DHM-November9.pdf" target="_blank"></a>Custer<a href="http://dhhs.ne.gov/Documents/LBHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/LBHD-DHM-November9.pdf" target="_blank"></a>

Dakota<a href="http://dhhs.ne.gov/Documents/DKHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

<a href="http://dhhs.ne.gov/Documents/DKHD-DHM-November9.pdf" target="_blank"></a>Dawes<a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank"></a>

Dawson<a href="http://dhhs.ne.gov/Documents/2RHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

<a href="http://dhhs.ne.gov/Documents/2RHD-DHM-November9.pdf" target="_blank"></a>Deuel<a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank"></a>

Dixon<a href="http://dhhs.ne.gov/Documents/NEHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

Dodge<a href="http://dhhs.ne.gov/Documents/3RHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

<a href="http://dhhs.ne.gov/Documents/3RHD-DHM-November9.pdf" target="_blank"></a>Douglas<a href="http://dhhs.ne.gov/Documents/DCHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/DCHD-DHM-November9.pdf" target="_blank"></a>

Dundy<a href="http://dhhs.ne.gov/Documents/SWHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

<a href="http://dhhs.ne.gov/Documents/SWHD-DHM-November9.pdf" target="_blank"></a>Fillmore<a href="http://dhhs.ne.gov/Documents/PHHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/PHHD-DHM-November9.pdf" target="_blank"></a>

Franklin<a href="http://dhhs.ne.gov/Documents/2RHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

<a href="http://dhhs.ne.gov/Documents/2RHD-DHM-November9.pdf" target="_blank"></a>Frontier<a href="http://dhhs.ne.gov/Documents/SWHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/SWHD-DHM-November9.pdf" target="_blank"></a>

Furnas<a href="http://dhhs.ne.gov/Documents/SWHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

Garden<a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

<a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank"></a>Garfield<a href="http://dhhs.ne.gov/Documents/LBHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/LBHD-DHM-November9.pdf" target="_blank"></a>

Gosper<a href="http://dhhs.ne.gov/Documents/2RHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

<a href="http://dhhs.ne.gov/Documents/2RHD-DHM-November9.pdf" target="_blank"></a>Grant<a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank"></a>

Greeley<a href="http://dhhs.ne.gov/Documents/LBHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

Hamilton<a href="http://dhhs.ne.gov/Documents/CDHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

<a href="http://dhhs.ne.gov/Documents/CDHD-DHM-November9.pdf" target="_blank"></a>Harlan<a href="http://dhhs.ne.gov/Documents/2RHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/2RHD-DHM-November9.pdf" target="_blank"></a>

Hayes<a href="http://dhhs.ne.gov/Documents/SWHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

<a href="http://dhhs.ne.gov/Documents/SWHD-DHM-November9.pdf" target="_blank"></a>Hitchcock<a href="http://dhhs.ne.gov/Documents/SWHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/SWHD-DHM-November9.pdf" target="_blank"></a>

Holt<a href="http://dhhs.ne.gov/Documents/NCHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

<a href="http://dhhs.ne.gov/Documents/NCHD-DHM-November9.pdf" target="_blank"></a>Hooker<a href="http://dhhs.ne.gov/Documents/WCHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/WCHD-DHM-November9.pdf" target="_blank"></a>

Howard<a href="http://dhhs.ne.gov/Documents/LBHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

<a href="http://dhhs.ne.gov/Documents/LBHD-DHM-November9.pdf" target="_blank"></a>Jefferson<a href="http://dhhs.ne.gov/Documents/PHHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/PHHD-DHM-November9.pdf" target="_blank"></a>

Johnson<a href="http://dhhs.ne.gov/Documents/SEHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

Kearney<a href="http://dhhs.ne.gov/Documents/2RHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

<a href="http://dhhs.ne.gov/Documents/2RHD-DHM-November9.pdf" target="_blank"></a>Keith<a href="http://dhhs.ne.gov/Documents/SWHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/SWHD-DHM-November9.pdf" target="_blank"></a>

Kimball<a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

Lancaster<a href="http://dhhs.ne.gov/Documents/LLHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

<a href="http://dhhs.ne.gov/Documents/LLHD-DHM-November9.pdf" target="_blank"></a>Lincoln<a href="http://dhhs.ne.gov/Documents/WCHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/WCHD-DHM-November9.pdf" target="_blank"></a>

Logan<a href="http://dhhs.ne.gov/Documents/WCHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

Madison<a href="http://dhhs.ne.gov/Documents/ELHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

<a href="http://dhhs.ne.gov/Documents/ELHD-DHM-November9.pdf" target="_blank"></a>McPherson<a href="http://dhhs.ne.gov/Documents/WCHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/WCHD-DHM-November9.pdf" target="_blank"></a>

Merrick<a href="http://dhhs.ne.gov/Documents/CDHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

<a href="http://dhhs.ne.gov/Documents/CDHD-DHM-November9.pdf" target="_blank"></a>Morrill<a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank"></a>

Nance<a href="http://dhhs.ne.gov/Documents/ECHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

<a href="http://dhhs.ne.gov/Documents/ECHD-DHM-November9.pdf" target="_blank"></a>Nemaha<a href="http://dhhs.ne.gov/Documents/SEHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/SEHD-DHM-November9.pdf" target="_blank"></a>

Nuckolls<a href="http://dhhs.ne.gov/Documents/SHHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

Pawnee<a href="http://dhhs.ne.gov/Documents/SEHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

<a href="http://dhhs.ne.gov/Documents/SEHD-DHM-November9.pdf" target="_blank"></a>Perkins<a href="http://dhhs.ne.gov/Documents/SWHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/SWHD-DHM-November9.pdf" target="_blank"></a>

All&nbsp;Nebraska counties are under Directed Health Measures from November 11 through November 30. These Directed Health Measures apply to every health department jurisdiction in the state.<h2>Directed Health Measures (DHM)</h2>(Effective November 11, 2020)Adams<a href="http://dhhs.ne.gov/Documents/SHHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/SHHD-DHM-November9.pdf" target="_blank"></a>Antelope<a href="http://dhhs.ne.gov/Documents/NCHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/NCHD-DHM-November9.pdf" target="_blank"></a>Arthur<a href="http://dhhs.ne.gov/Documents/WCHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/WCHD-DHM-November9.pdf" target="_blank"></a>Banner<a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank"></a>Blaine<a href="http://dhhs.ne.gov/Documents/LBHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>Boone<a href="http://dhhs.ne.gov/Documents/ECHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/ECHD-DHM-November9.pdf" target="_blank"></a>Box Butte<a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank"></a>Boyd<a href="http://dhhs.ne.gov/Documents/NCHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/NCHD-DHM-November9.pdf" target="_blank"></a>Brown<a href="http://dhhs.ne.gov/Documents/NCHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/NCHD-DHM-November9.pdf" target="_blank"></a>Buffalo<a href="http://dhhs.ne.gov/Documents/2RHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/2RHD-DHM-November9.pdf" target="_blank"></a>Burt<a href="http://dhhs.ne.gov/Documents/ELHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/ELHD-DHM-November9.pdf" target="_blank"></a>Butler<a href="http://dhhs.ne.gov/Documents/FCHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/FCHD-DHM-November9.pdf" target="_blank"></a>Cass<a href="http://dhhs.ne.gov/Documents/SCHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/SCHD-DHM-November9.pdf" target="_blank"></a>Cedar<a href="http://dhhs.ne.gov/Documents/NEHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/NEHD-DHM-November9.pdf" target="_blank"></a>Chase<a href="http://dhhs.ne.gov/Documents/SWHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/SWHD-DHM-November9.pdf" target="_blank"></a>Cherry<a href="http://dhhs.ne.gov/Documents/NCHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/NCHD-DHM-November9.pdf" target="_blank"></a>Cheyenne<a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank"></a>Clay<a href="http://dhhs.ne.gov/Documents/SHHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/SHHD-DHM-November9.pdf" target="_blank"></a>Colfax<a href="http://dhhs.ne.gov/Documents/ECHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/ECHD-DHM-November9.pdf" target="_blank"></a>Cuming<a href="http://dhhs.ne.gov/Documents/ELHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/ELHD-DHM-November9.pdf" target="_blank"></a>Custer<a href="http://dhhs.ne.gov/Documents/LBHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/LBHD-DHM-November9.pdf" target="_blank"></a>Dakota<a href="http://dhhs.ne.gov/Documents/DKHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/DKHD-DHM-November9.pdf" target="_blank"></a>Dawes<a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank"></a>Dawson<a href="http://dhhs.ne.gov/Documents/2RHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/2RHD-DHM-November9.pdf" target="_blank"></a>Deuel<a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank"></a>Dixon<a href="http://dhhs.ne.gov/Documents/NEHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>Dodge<a href="http://dhhs.ne.gov/Documents/3RHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/3RHD-DHM-November9.pdf" target="_blank"></a>Douglas<a href="http://dhhs.ne.gov/Documents/DCHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/DCHD-DHM-November9.pdf" target="_blank"></a>Dundy<a href="http://dhhs.ne.gov/Documents/SWHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/SWHD-DHM-November9.pdf" target="_blank"></a>Fillmore<a href="http://dhhs.ne.gov/Documents/PHHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/PHHD-DHM-November9.pdf" target="_blank"></a>Franklin<a href="http://dhhs.ne.gov/Documents/2RHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/2RHD-DHM-November9.pdf" target="_blank"></a>Frontier<a href="http://dhhs.ne.gov/Documents/SWHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/SWHD-DHM-November9.pdf" target="_blank"></a>Furnas<a href="http://dhhs.ne.gov/Documents/SWHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/SWHD-DHM-November9.pdf" target="_blank"></a>Gage<a href="http://dhhs.ne.gov/Documents/PHHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/PHHD-DHM-November9.pdf" target="_blank"></a>Garden<a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank"></a>Garfield<a href="http://dhhs.ne.gov/Documents/LBHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/LBHD-DHM-November9.pdf" target="_blank"></a>Gosper<a href="http://dhhs.ne.gov/Documents/2RHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/2RHD-DHM-November9.pdf" target="_blank"></a>Grant<a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank"></a>Greeley<a href="http://dhhs.ne.gov/Documents/LBHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/LBHD-DHM-November9.pdf" target="_blank"></a>Hall<a href="http://dhhs.ne.gov/Documents/CDHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/CDHD-DHM-November9.pdf" target="_blank"></a>Hamilton<a href="http://dhhs.ne.gov/Documents/CDHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/CDHD-DHM-November9.pdf" target="_blank"></a>Harlan<a href="http://dhhs.ne.gov/Documents/2RHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/2RHD-DHM-November9.pdf" target="_blank"></a>Hayes<a href="http://dhhs.ne.gov/Documents/SWHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/SWHD-DHM-November9.pdf" target="_blank"></a>Hitchcock<a href="http://dhhs.ne.gov/Documents/SWHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/SWHD-DHM-November9.pdf" target="_blank"></a>Holt<a href="http://dhhs.ne.gov/Documents/NCHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/NCHD-DHM-November9.pdf" target="_blank"></a>Hooker<a href="http://dhhs.ne.gov/Documents/WCHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/WCHD-DHM-November9.pdf" target="_blank"></a>Howard<a href="http://dhhs.ne.gov/Documents/LBHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/LBHD-DHM-November9.pdf" target="_blank"></a>Jefferson<a href="http://dhhs.ne.gov/Documents/PHHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/PHHD-DHM-November9.pdf" target="_blank"></a>Johnson<a href="http://dhhs.ne.gov/Documents/SEHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/SEHD-DHM-November9.pdf" target="_blank"></a>Kaya Paha<a href="http://dhhs.ne.gov/Documents/NCHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/NCHD-DHM-November9.pdf" target="_blank"></a>Kearney<a href="http://dhhs.ne.gov/Documents/2RHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/2RHD-DHM-November9.pdf" target="_blank"></a>Keith<a href="http://dhhs.ne.gov/Documents/SWHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/SWHD-DHM-November9.pdf" target="_blank"></a>Kimball<a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank"></a>Knox<a href="http://dhhs.ne.gov/Documents/NCHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/NCHD-DHM-November9.pdf" target="_blank"></a>Lancaster<a href="http://dhhs.ne.gov/Documents/LLHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/LLHD-DHM-November9.pdf" target="_blank"></a>Lincoln<a href="http://dhhs.ne.gov/Documents/WCHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/WCHD-DHM-November9.pdf" target="_blank"></a>Logan<a href="http://dhhs.ne.gov/Documents/WCHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/WCHD-DHM-November9.pdf" target="_blank"></a>Loup<a href="http://dhhs.ne.gov/Documents/LBHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/LBHD-DHM-November9.pdf" target="_blank"></a>Madison<a href="http://dhhs.ne.gov/Documents/ELHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/ELHD-DHM-November9.pdf" target="_blank"></a>McPherson<a href="http://dhhs.ne.gov/Documents/WCHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/WCHD-DHM-November9.pdf" target="_blank"></a>Merrick<a href="http://dhhs.ne.gov/Documents/CDHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/CDHD-DHM-November9.pdf" target="_blank"></a>Morrill<a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank"></a>Nance<a href="http://dhhs.ne.gov/Documents/ECHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/ECHD-DHM-November9.pdf" target="_blank"></a>Nemaha<a href="http://dhhs.ne.gov/Documents/SEHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/SEHD-DHM-November9.pdf" target="_blank"></a>Nuckolls<a href="http://dhhs.ne.gov/Documents/SHHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/SHHD-DHM-November9.pdf" target="_blank"></a>Otoe<a href="http://dhhs.ne.gov/Documents/SEHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/SEHD-DHM-November9.pdf" target="_blank"></a>Pawnee<a href="http://dhhs.ne.gov/Documents/SEHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/SEHD-DHM-November9.pdf" target="_blank"></a>Perkins<a href="http://dhhs.ne.gov/Documents/SWHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/SWHD-DHM-November9.pdf" target="_blank"></a>Phelps<a href="http://dhhs.ne.gov/Documents/2RHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/2RHD-DHM-November9.pdf" target="_blank"></a>Pierce<a href="http://dhhs.ne.gov/Documents/NCHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/NCHD-DHM-November9.pdf" target="_blank"></a>Platte<a href="http://dhhs.ne.gov/Documents/ECHD-DHM-November9.pdf" target="_blank">DHM</a>Polk<a href="http://dhhs.ne.gov/Documents/FCHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/FCHD-DHM-November9.pdf" target="_blank"></a>Red Willow<a href="http://dhhs.ne.gov/Documents/SWHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/SWHD-DHM-November9.pdf" target="_blank"></a>Richardson<a href="http://dhhs.ne.gov/Documents/SEHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/SEHD-DHM-November9.pdf" target="_blank"></a>Rock<a href="http://dhhs.ne.gov/Documents/NCHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/NCHD-DHM-November9.pdf" target="_blank"></a>Saline<a href="http://dhhs.ne.gov/Documents/PHHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/PHHD-DHM-November9.pdf" target="_blank"></a>Sarpy<a href="http://dhhs.ne.gov/Documents/SCHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/SCHD-DHM-November9.pdf" target="_blank"></a>Saunders<a href="http://dhhs.ne.gov/Documents/3RHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/3RHD-DHM-November9.pdf" target="_blank"></a>Scotts Bluff<a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank"></a>Seward<a href="http://dhhs.ne.gov/Documents/FCHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/FCHD-DHM-November9.pdf" target="_blank"></a>Sheridan<a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank"></a>Sherman<a href="http://dhhs.ne.gov/Documents/LBHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>Sioux<a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/PPHD-DHM-November9.pdf" target="_blank"></a>Stanton<a href="http://dhhs.ne.gov/Documents/ELHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/ELHD-DHM-November9.pdf" target="_blank"></a>Thayer<a href="http://dhhs.ne.gov/Documents/PHHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/PHHD-DHM-November9.pdf" target="_blank"></a>Thomas<a href="http://dhhs.ne.gov/Documents/WCHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/WCHD-DHM-November9.pdf" target="_blank"></a>Thurston<a href="http://dhhs.ne.gov/Documents/NEHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/NEHD-DHM-November9.pdf" target="_blank"></a>Valley<a href="http://dhhs.ne.gov/Documents/LBHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/LBHD-DHM-November9.pdf" target="_blank"></a>Washington<a href="http://dhhs.ne.gov/Documents/3RHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/3RHD-DHM-November9.pdf" target="_blank"></a>Wayne<a href="http://dhhs.ne.gov/Documents/NEHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/NEHD-DHM-November9.pdf" target="_blank"></a>Webster<a href="http://dhhs.ne.gov/Documents/SHHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a><a href="http://dhhs.ne.gov/Documents/SHHD-DHM-November9.pdf" target="_blank"></a>Wheeler<a href="http://dhhs.ne.gov/Documents/LBHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>York<a href="http://dhhs.ne.gov/Documents/FCHD-DHM-November9.pdf" target="_blank">DHM&nbsp;</a>

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