Health Department Suspending In-Person Visits: Appointments are still welcome. PSG will continue drug testing and the Health Department can still be contacted by phone.

COVID-19 Coronavirus

As this situation is constantly evolving, LCHD will update with new guidance as it is received. You can also follow Langlade County Health Department’s Facebook page for information.

Sections Include:
General Information
Should I be tested for COVID-19?
Cloth Face Mask Guidance
Travel Information
Emergency Orders
Business Guidance
Stress and Coping
Resources/Fact Sheets
LCHD Frequently Asked Questions

Current Update - Thursday, April 9th, 2020

Section headers with updates from today will be highlighted until the next day's update.

Testing Data Updated Mon/Wed/Fri at approximately 3PM - Most recent testing data update - April 8, 2020:

The CDC is now recommending everyone wear face coverings when going into public spaces. Please see this fact sheet on the topic. Thank you.

General Information

Background Information and General Guidance

CDC and WI DHS continue to closely monitor an outbreak of respiratory illness caused by a novel (new) coronavirus (COVID-19) that was first detected in Wuhan City, Huneir Province, China. As this outbreak continues to expand, the Langlade County Health Department will continue to update this page with the most up to date information and guidance available.
The general guidance is as follows:
  • Wash your hands often with soap and water for at least 20 seconds, especially before eating and after going to the bathroom, blowing your nose, coughing, or sneezing.
  • If you do not have soap and water, use an alcohol-based hand sanitizer with at least 60% alcohol. Always wash hands with soap and water if hands are visibly dirty.
  • Avoid touching your eyes, nose, and mouth with unwashed hands.
  • Avoid close contact with people who are sick.
  • Stay home when you are sick.
  • Cover your cough or sneeze with a tissue, then throw the tissue in the trash.
  • Clean and disinfect frequently touched objects and surfaces using a regular household cleaning spray or wipe.
If you have been in contact with someone who has COVID-19 or have recently traveled, monitor yourself for signs and symptoms and call your doctor if you are ill.
  • Practice social distancing.
  • Avoid close contact with people who are sick.
  • Avoid touching your eyes, nose, or mouth.
  • Cover coughs and sneezes. Use a tissue or your elbow.
  • Clean and disinfect surfaces or objects with a product that is proven to kill the influenza virus.
The Centers for Disease Control and Prevention (CDC) has become aware of two individuals who ingested non-pharmaceutical chloroquine phosphate, a chemical for aquarium use that is commercially available for purchase at stores and through internet websites. One of the individuals died shortly after arrival to the hospital. The second individual was critically ill with severe gastrointestinal symptoms and cardiac conduction abnormalities. At this time, there are no routinely available pharmaceutical products that are FDA-approved for the prevention or treatment of COVID-19.

Current Map of Wisconsin Outbreaks:

Updated by WI-DHS by 2PM daily

Risk of COVID-19

At the current time, Wisconsin has seen multiple confirmed cases of COVID-19, including neighboring Marathon and Oneida Counties. With more testing facilities online, we can expect to see even more cases.
While information so far suggests that most COVID-19 illness is mild, there is a report out of China that suggests serious illness occurs in 16% of cases.

Signs & Symptoms:
People with confirmed infections have a range of symptoms, from little to no symptoms to people being severely sick and dying. Symptoms may include:
  • Fever
  • Cough
  • Shortness of breath
  • Sore throat
  • Headache
  • Fatigue
  • Body or muscle aches
  • Nausea
  • Vomiting
  • Diarrhea
  • Loss of smell
  • Loss of taste
Not everyone with COVID-19 has all of these symptoms. For many, symptoms are mild, with no fever. It is important to know that you can still spread (transmit) the virus to others even if you have mild or no symptoms.
The CDC believes that symptoms of COVID-19 appear in as few as two days or as long as 14 days after contact with someone who has COVID-19.

If you develop emergency warning signs for COVID-19 seek medical attention immediately. If possible, call the medical facility before arriving so they can prepare. Emergency warning signs include*:
  • Difficulty breathing or shortness of breath
  • Persistent pain or pressure in the chest
  • New confusion or inability to arouse
  • Bluish lips or face
*This list is not all inclusive. Please consult your medical provider for any other symptoms that are severe or concerning. Consider telehealth, calls, or video visits where possible.

Older people and people of all ages with severe chronic medical conditions — like heart disease, lung disease, diabetes — people with a weakened immune system, and women who are pregnant, seem to be at higher risk of developing serious COVID-19 illness.
These people should:
  • stay home
  • avoid gatherings
  • cancel all non-essential travel.

Community Spread

We are seeing community spread of COVID-19 in Wisconsin. It is widespread enough that DHS is no longer reporting the specific counties with community spread. This means that there are people who have tested positive who have no known exposures to a known case nor did they travel to a location where there is known community spread.

Find the attached document that outlines ways to practice social distancing which can help slow the spread of COVID-19. As the outbreak continues to evolve it is important to practice social distancing as best we can. Please review the below image to simply explain why social distancing is important and can help slow the speed at which this virus impacts our community.

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Should you get tested for COVID-19?

Not everyone needs to be tested for COVID-19. Here is some information that might help in making decisions about seeking care or testing.
  • Most people have mild illness and are able to recover at home.
  • There is no treatment specifically approved for this virus.
  • Testing results may be helpful to inform decision-making about who you come in contact with.
CDC Testing Priorities for Patients with Suspected COVID-19
If you think you should be tested
Call your doctor if you have symptoms of COVID-19 and need medical care or think you are high risk for having illness. Your doctor will determine whether or not you should be tested based on your symptoms, risk factors like travel or contact with others who are sick, and if you have underlying medical conditions.
Not everyone with symptoms will be tested.

24/7 Hotline 1-844-568-0701
Drive Through Testing Available
*Contact hotline to obtain a prescreening evaluation*

Cloth Face Masks

CDC and WI DHS recommend that everyone use a cloth fact covering in community settings to help reduce the spread of COVID-19. Evidence suggests that it may help reduce transmission among people before showing symptoms and from people who have the virus but never show symptoms.
CDC Fact Sheet - Cloth Face Mask
CDC Q&A on Cloth Face Coverings
Should I Wear a Cloth Face Mask?
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Travel Information

Non-essential travel is prohibited under Safer at Home Order. Travel outside of a person’s community is not advised, unless required.
All international and domestic travel is considered risky, and all individuals who spend time outside of their home or local community have some risk of exposure to COVID-19. If international or domestic travel cannot be avoided, you should be prepared to self-quarantine at home for 14 days upon your return.

International Travel

There is widespread, ongoing transmission of novel coronavirus worldwide (see Global COVID-19 Pandemic Notice).
If you have traveled internationally in the past 14 days, stay home and monitor your health.

During this 14-day period, take these steps to monitor your health and practice social distancing:
  • Stay home for 14 days
  • Take your temperature with a thermometer two times a day and monitor for fever. Also watch for cough or trouble breathing.
  • Stay home and avoid contact with others. Do not go to work or school.
  • Do not take public transportation, taxis, or ride-shares.
  • Keep your distance from others (about 6 feet ).
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Domestic Travel Information:

DHS recommends Wisconsin residents cancel or postpone all nonessential travel, including travel within the state.
This is for your safety and well-being as well as the safety of our rural counties and tribal communities. Non-essential travel outside your current community may spread COVID-19 to areas with very limited health care infrastructure.

On March 24, Governor Evers implemented a “Safer at Home” order for all Wisconsin residents, which will be in effect until at least April 24, 2020. This requires that Wisconsin residents stay at home or their place of residence, unless performing essential activities, such as seeking health care, food, necessary supplies and services, outdoor exercise, certain types of work, and other qualified activities. All travel within Wisconsin is prohibited other than certain essential travel, including:
  • Travel required by law enforcement or court order.
  • Travel to return home from outside your home jurisdiction.
  • Travel to care for elderly, minors, dependents, persons with disabilities, or other vulnerable populations.
  • Travel to or from educational institutions to receive materials for distance learning, meals, or other related services.
  • Travel required for non-residents to return to their place of residence outside of Wisconsin.
  • Any travel related to perform other approved essential activities, special situations, essential government functions, essential business operations, and minimum basic operations, as described in Gov. Evers’ “Safer At Home” order.
Older adults and people with chronic medical conditions. If you are at risk for serious illness from COVID-19, you should avoid all travel within and outside of your community in order to minimize contact with others.
If you are returning from travel. If you traveled anywhere outside of your local community in the past 14 days, you are being asked to stay home and monitor yourself for symptoms for 14 days after you returned. If you were able to practice social distancing during the entire time you were away (for example, you stayed in your car by yourself and kept at least 6 feet distance between yourself and others), you should still monitor your symptoms and practice social distancing.
  • Stay home. It is important that you avoid contact with others to avoid spreading the infection to others (this is called “self-quarantine”).
  • Monitor your symptoms. Check your temperature twice daily, and write down any symptoms you have (this is called ‘self-monitoring”). If you develop symptoms of COVID-19 like fever, cough, shortness of breath, or others and need medical care, call your doctor. See the Medium risk flier for a chart you can use to log your daily symptoms.
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Local Travel

Langlade County has issued a travel advisory regarding secondary/seasonal homes. In summary, people with secondary or seasonal homes are encouraged to stay at their winter home at this time. If you recently traveled to Langlade County from outside the county, you are encouraged to self-quarantine for 14 days.
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What To Do If You Get Sick

If you get sick with fever, cough, shortness of breath in the 14 days after you return from travel or have been in contact with someone diagnosed with COVID-19:
  • Call ahead before you go to a doctor’s office or emergency room. Tell them about your recent travel, contact, and your symptoms.
  • Stay home. Avoid contact with others.
  • Monitor your symptoms.
  • Cover your mouth and nose.
  • Wash your hands often with soap and water.
DHS Fact Sheet - What Should I Do if I was tested for COVID-19 and awaiting results?
DHS Fact Sheet - What do I do if I am diagnosed with COVID-19?
DHS Fact Sheet - What Should I do if I had close contact with somone diagnosed with COVID-19?
DHS Fact Sheet - What should I do is someone in my home is sick from COVID-19?
Quarantine release timeline flyer for those with close contact
If you need to seek essential medical care for other reasons, call ahead to your doctor and tell them about your recent travel.
As this situation continues to rapidly change, the most up to date information is available on the CDC website at: CDC Coronavirus Disease 2019 Information for Travel.
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Emergency Orders

General Timeline

On March 11, 2020 the World Health Organization declared a pandemic.
On March 12, 2020, Gov. Tony Evers declared a Public Health Emergency in Wisconsin.
On March 13, 2020, Gov. Evers directed the DHS to issue a Statewide closure of all K-12 Schools, Public and Private. Read the full memo here.
On March 17, 2020, Gov. Evers directed the DHS to issue a Statewide order to prohibiting mass gatherings of 10 people or more. Read the full memo here.
On March 25, 2020, Gov. Evers directed the DHS to issue a Statewide order called the #SaferAtHome. This order went into effect at 8am until April 24, 2020. Read the full memo here. This order includes a stay at home order which prohibits any public or private gatherings of any number of people, except family members in a single living unit or household members. The order does allow individual to leave there home only for essential activities.
On March 27, 2020, Gov. Tony Evers directed Wisconsin Department of Health Services (DHS) Secretary-designee Andrea Palm to temporarily order the suspension of evictions and foreclosures amid the COVID-19 public health emergency. Read the full memo here.
This is not a comprehensive list of all Orders. Please check the Governor's Press Room for all Orders.
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Business Guidance:

Employer Guidance:

Is my business "essential"? Are all of my employees "essential"?
Please visit the Wisconsin Economic Development Corporation's website with information on this topic.

What can you do to help if you have an employee who is being asked to stay home from work by public health?
In order to reduce the impact of missed work on employees who are being monitored, public health may ask employers to make reasonable accommodations to allow the employee to work from home or a protected area (e.g., closed office), depending on their level of risk and in coordination with the employer.
Please also review the Families First Coronavirus Response Act for potential implications on paid leave and FMLA. See this Department of Labor poster as well.

What can I do to prepare my business or workplace in the event that COVID-19 becomes more widespread in our community?
We recommend all employers have a plan for what they can do in the event that COVID-19 becomes widespread in the community. The goals for your plan should be to reduce the spread of acute respiratory illnesses and minimize the impact of COVID-19 among your employees.Click here to see what a Business Response Plan looks like and what the recommended compliance list is for the current situation. This list includes things like: banning all in person visits, changing workflow to allow for 6' between employees, staggering shifts to minimize on-site persons at a given time, work from home for employees capable of doing so, requiring employees to immediately report symptoms, and many others.

My employees cannot find childcare to sustain essential operations. How can I help?
If your business has been deemed an "essential business" but employees are struggling to find childcare, please direct them to this link from the Wisconsin Department of Children and Families. Wisconsin DCF is looking to provide connections between essential employees in need and available childcare options. They are also providing a map of existing childcare options.

How do I make sure my business is complying with the existing orders?
Wisconsin Economic Development Corporation has provided guidance for businesses in response to COVID-19. This link will take you to the "Response Plan" document. Compliance with this document ensures compliance with existing state and federal orders (as of March 30, 2020). Any updates to this document will be made as received.

Business Guidance Links
CDC Business Guidance to Plan and Respond during COVID-19
Langlade County Health Department on Preparing Your Workplace
Economic Development Business Resource Guide and information on the Small Business Administration Loans.
The Insurance Commissioner Orders Insurers to Assist Restaurants Offering Delivery During COVID-19 Public Health Crisis
For regional North Central Wisconsin Small Business Resources, please visit the North Central Regional Planning Commission's COVID-19 webpage.

Need cloth masks?
A Community Group out of the Lakewood area is offering to make them as needed. Enter your information in the form at this link. Please consider supporting them in any way possible.

Schools and Childcare:

On March 13, 2020 Gov. Tony Evers directed WI DHS to close all schools beginning March 18, 2020 at 5:00 p.m. to April 6, 2020. The re-opening date is subject to change, pending further information.

More information regarding schools at: CDC Website Regarding Schools and DPI Website-Coronavirus

What Safer At Home Means for Schools

What Safer At Home Means for Childcare

Resource DHS Guidance for Schools

Community & Faith Based Organizations:

Guidance for Community and Faith Leaders

Guidance for Community & Faith Based Organizations and Cleaning & Disinfecting Recommendations and more

The Department of Health Services (DHS) has released a guidance memo with recommendations for all adult/juvenile correctional facilities, local jails, municipal lockups, juvenile secure detention centers, and secure treatment centers in Wisconsin related to COVID-19 response.

Stress and Coping:

Fear and anxiety about the COVID-19 pandemic can be overwhelming and cause strong emotions.

Things you can do to support yourself:
  • Take breaks from watching, reading, or listening to news stories and social media. Hearing about the pandemic repeatedly can be upsetting.
  • Take care of your body. Take deep breaths, stretch, or meditate. Try to eat healthy, well-balanced meals, exercise regularly, get plenty of sleep, and avoid alcohol
  • and drugs.
  • Make time to unwind. Try to do some other activities you enjoy.
  • Connect with others. Talk with people you trust about your concerns and how you are feeling.
  • Call your healthcare provider if stress gets in the way of your daily activities for several days in a row.
Click here for the Substance Abuse and Mental Health Association Assistance Website regarding COVID-19 resources.
COVID-19 Health & Well Being-University of Wisconsin Extension-Langlade County
Friendship Line: Institute on Aging’s 24-hour toll-free Friendship Line is the only accredited crisis line in the country for people aged 60 years and older, and adults living with disabilities. 1-800-971-0016

Resources/Fact Sheets::

Press Release: March 30, 2020 - Wisconsin Department of Health Services Provides Guidance on COVID-19 Testing Criteria

Want to help and have spare PPE lying around in bulk (more than 50 items per item type)? The State of Wisconsin is taking and managing donations of PPE for the response to COVID-19. If you have less than 50 items, consider contacting the Health Department directly.

Want to help? Consider donating to the Antigo Food Pantry or United Way - Langlade County.

For local Langlade County resources, please visit Langlade County Economic Development's COVID-10 Resources Page.

For more information visit: Wisconsin DHS Website or Center for Disease Control Website (National and Global Information)

For FEMA's Coronavirus Rumor Control, click here.

Fact Sheet: What You need to Know About Coronavirus

Fact Sheet: Wash Your Hands

Everbridge Mass Notification System - Langlade County partners with the City of Antigo to provide a mass notification system for our citizens. This system is being utilized in the COVID-19 situation by passing official information directly to citizen's via text message, email, Everbridge app on iOS and Android, and phone call. If you sign up, please be aware that if you "acknowledge" the first alert in a non-emergeny alert, you can prevent all the future alerts from coming in (so, if you acknowledge the text message, you won't get a phone call).
You can also text ALCCOVID19 to 888-777 to get just the shortest text message alerts when others are sent.

Please also feel free to contact 211 for a duplication of these resources or the resources for neighboring and statewide locations:
For questions or immediate needs related to COVID-19, you can: