Natrona County Health Officer Dr. Mark Dowell (Casper-Natrona County Health Department, Facebook)

CASPER, Wyo. — County health officers across Wyoming discussed the COVID-19 situation during meetings on Oct. 22 and 29.

The county health officers agreed that Wyoming should enact a statewide mask mandate, according to a letter addressed to Governor Mark Gordon on Oct. 31.

“All County Health Officers were united in recommending a statewide mask ordinance with the hope of preventing more death and disease from COVID-19 among our Wyoming citizens,” the letter states.

Laramie County Health Officer Dr. Stan Hartman said in a release sent on Thursday that the county health officers met with Gordon and State Health Officer Dr. Alexia Harrist this morning.

“The conversation was friendly and supportive, although no specific decisions were made about a statewide mask order,” Hartman said. “All of us appreciated the time that the Governor spent visiting with us.

Hartman said the county health officers decided as a group to make the letter public on Thursday in order “to voice our support for the difficult decisions that Governor Gordon has to make.”

The letter notes that each county has a way they could enact mask mandates on an individual basis.

“However, this would take considerably more time and would likely be less consistently achieved,” the letter states. “We feel that a statewide mandate sends a more powerful and effective message in a more timely manner.”

“With the recent dramatic increase in cases and hospitalizations, expedited implementation is paramount. In addition, if we can slow the spread of COVID-19 we can hopefully also prevent another lockdown and speed our economic recovery.”

The letter said that a recent White House Task Force report recommended “increased caution and continued face masks for 10 Wyoming counties. Red zone counties reported were Albany, Big Horn, Campbell, Converse, Goshen, Park and Sublette counties.”

The county health officers add that Wyoming’s COVID-19 numbers have continued to rise and some in the public have ignored their COVID-19 saftey recommendations.

“Education and encouragement alone have not achieved desired outcomes and our health care resources are stressed and deaths in nursing homes have increased,” the letter states.

The county health officers concluded by asking Gordon “to strongly consider adopting an ordinance requiring facemasks similar to the ordinances that Teton and Laramie County have passed and are now being considered elsewhere in the state for the protection of the public good and health of its citizens.”

The following people signed the letter:

  • Wyoming Medical Society
    • David B. Wheeler, MD, PhD, FAAN, FAES, FAHA
  • Wyoming County Health Officers
    • Dr. Jean Allais
    • Dr. David Fairbanks
    • Dr. Kirtikumar Patel
    • Dr. Marvin Wayne Couch II
    • Dr. James Larson
    • Dr. Marion Smith
    • Dr. Vernon Miller
    • Dr. Mark Schueler
    • Dr. Stan Hartman
    • Dr. G. Christopher Krell
    • Dr. Mark Dowell
    • Dr. Aaron Billin
    • Dr. Steve Peasley
    • Dr. Ian Hunter
    • Dr. Brendon Fitzsimmons
    • Dr. Jean Stachon
    • Dr. Travis Riddle
    • Dr. Michael Adams
    • Dr. Ed Zimmerman
    • Dr. Michael Jording

Sweetwater Now has also reported on the county health officers’ letter and provide a full version of the letter in their story.

WHEREAS, COVID-19 is a respiratory illness, transmitted through person-to-person contact or by contact with surfaces contaminated with the virus. Persons infected with COVID-19 may become symptomatic two to fourteen days after exposure;3and WHEREAS, respiratory droplets from infected individuals are a major mode of SARS-CoV-2 transmission.4This understanding is the basis of the recommendations for physical distancing, and of the PPE guidance for healthcare workers.5Droplets do not only come from coughing or sneezing: in a-/pre-symptomatic individuals, droplets are generated via talking and breathing;6andWHEREAS, Face Coverings reduce droplet dispersal and cloth-based coverings reduce emission of particles by variable amounts; and WHEREAS, evidence indicates that wearing Face Coverings reduces the transmissibility per contact by reducing transmission of infected droplets; andWHEREAS, in the most comprehensive, systematic review and meta-analysis of Face Coverings published to date, Chu et al. found that face masks could reduce risk of transmission of COVID-19 by an expected 85 percent;7andWHEREAS, guidelines published by the U.S. Centers for Disease Control (CDC) on April 3, 2020, recommend that all people wear cloth Face Coverings in public settings where other physical distancing measures may be difficult to maintain. CDC also advises the use of simple cloth Face Coverings to slow the spread of the virus and help people who may have the virus and do not know it from transmitting it to others;8and3United States Centers for Disease Control and Prevention. Coronavirus Disease 2019 (COVID-19): How to Protect Yourself & Others. Available: https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.html (Accessed: 6/24/2020).4World HealthOrganization. 2020 Modes of transmission of virus causing COVID-19: implications for IPC precaution recommendations.Available: https://www.who.int/news-room/commentaries/detail/modes-of-transmission-of-virus-causing-covid-19-implications-for-ipc-precaution-recommendations.(Accessed: 05/21/2020)5Public Health England. 2020 COVID-19: infection prevention and control guidance. Available: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/881489/COVID-19_Infection_prevention_and_control_guidance_complete.pdf(Accessed: 05/21/2020)6Anfinrud P, Stadnytskyi V, Bax CE, Bax A. 2020 Visualizing Speech-Generated Oral Fluid Droplets with Laser Light Scattering.New England Journal of Medicine (doi:10.1056/NEJMc2007800).7Chu DK, Akl EA, Duda S, et al. Physical distancing, face masks, and eye protection to prevent person-to-person transmission of SARS-CoV-2 and COVID-19: a systematic review and meta-analysis [published online ahead of print, 2020 Jun 1].Lancet. 2020;S0140-6736(20)31142-9. doi:10.1016/S0140-6736(20)31142-98United States Centers for Disease Control and Prevention. Coronavirus Disease 2019 (COVID-19):Use of Cloth Face Coverings to Help Slow the Spread of COVID-19.Available: https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/diy-cloth-face-coverings.html (Accessed: 6/26/2020).WHEREAS, the White House Task Force has placed Wyoming in the top 10 states for COVID cases and recommended face masks in our counties;9FURTHERMORE, since COVID-19 positive cases are increasing significantly and the number ofdeaths this week have spiked;THEREFORE, we the undersigned duly appointed health officers of each Wyoming county appeal to you to strongly consider adopting an ordinance requiring facemasks similar to the ordinancesthat Teton and Laramie County have passed and arenow being considered elsewhere in the state for the protection of the public good and health of its citizens.Respectfully,Wyoming Medical SocietyDavid B. Wheeler, MD, PhD, FAAN, FAES, FAHAWyoming County Health OfficersDr. Jean AllaisDr. David FairbanksDr. Kirtikumar PatelDr. Marvin Wayne Couch IIDr. James LarsonDr. Marion SmithDr. Vernon MillerDr. Mark SchuelerDr. Stan HartmanDr. G. Christopher KrellDr. Mark DowellDr. Aaron BillinDr. Steve PeasleyDr. Ian HunterDr. Brendon FitzsimmonsDr. Jean StachonDr. Travis RiddleDr. Michael AdamsDr. Ed ZimmermanDr. Michael Jording9WhiteHouse task force recommended face mask requirements for some Wyoming counties, Casper Star Tribune, October 9, 2020