Missoula health officials close bars, limit food service to prevent COVID-19 spread

social distancing

The Missoula City-County health officer issued an order closing bars and limiting restaurant service starting at 8 a.m. Tuesday, March 17, through 8 a.m. Tuesday, March 24.

The order comes on the heels of CDC guidance to restrict events to fewer than 50 people, and the growing evidence supporting social distancing, or the avoidance of large groups of people and close contact. Other jurisdictions in Montana are doing the same, including Butte, as well as elected officials across the country.

“I know that this is a big ask with Saint Patty’s day tomorrow, but this is not a typical time,” said Health Officer Ellen Leahy. “This is a global pandemic of a new virus that spreads easily from person-to-person, and we need everyone’s help in curbing it.”

While the order prohibits the operation of bars and dine-in food service, the order does allow for limited operation via drive-thru, take out and delivery service. It also doesn’t include food services that are a sole source of food for a population such as nursing homes, UM dining or hospitals. Food services that operate in a limited capacity need to follow the food service regulations and additional guidance from the health department.

With two presumptive positive COVID-19 tests in Missoula County over the weekend and other cases across the state, the order is timely, especially in light of Gov. Steve Bullock ordering K-12 schools to close statewide.

“We appreciate the cooperation of the businesses affected,” Leahy said. “One of the great things about Missoula is the community-minded approach of the business community. Working together, we can minimize the impact on Missoula’s health and the economy.”

For the latest updates on COVID-19 in Missoula County, visit missoula.co/cvirus or call 406-258-INFO from 8 a.m. to 5 p.m. Monday through Friday.

Missoula medical clinics set up focused screening centers for COVID-19

COVID questions

With COVID-19 cases now confirmed in Montana, including two in Missoula County, two Missoula medical clinics are operating focused screening centers to care for patients with respiratory and flu-like symptoms.

The focused screening centers are located at:

Community FirstCare (North Reserve Only)
2230 N. Reserve St., Suite 402
Hours: 8 a.m. to 6 p.m. Monday through Friday, 9 a.m. to 5 p.m. Saturday and Sunday
Call the complementary 24/7 Nurse on Call for symptom evaluation, 406-327-4770. Patients with symptoms should call in advance of visiting the hospital or any clinic.
Check-in online: http://www.communityfirstcare.com

Providence Grant Creek Walk-In Clinic
3075 N. Reserve St., Suite Q
Hours 8 a.m.-7 p.m., Monday through Friday, 9 a.m.-4 p.m. Saturday and Sunday
If the patient is experiencing symptoms, please call in advance: 406-327-1750

Only people experiencing fever, difficulty breathing, cough and other respiratory and flu-like symptoms should access these focused screening centers. Patients with a primary medical provider should still call that office first before visiting a focused screening center.

The Missoula City-County Health Department continues to work with Community Medical Center, Partnership Health Center, Providence St. Patrick Hospital, Western Montana Clinic and other health professionals to share information and best practices to ensure specific strategies can be deployed that work best for our community. COVID-19 is new, but disaster response is not. Missoula hospitals and health systems conduct emergency preparedness training regularly. Medical providers treat patients with infectious diseases every day, so protocols are already in place to care for these patients while ensuring the safety of medical staff, visitors and the community.

Based on the experiences of other communities with confirmed cases, most people who become infected with COVID-19 will not become seriously ill and will not need hospitalization or even a trip to the emergency room or medical clinic. Emergency care is a precious resource that should be reserved for those with the most serious symptoms.

What the public needs to know:

  • Follow advice from public health officials, including social distancing (avoiding large groups of people — the CDC currently recommending canceling or postponing events of 50 people or more). Also take common steps like washing your hands for 20 seconds, not touching your face, staying home when you are sick, coughing or sneezing into an elbow or a tissue and throwing it away immediately. Check out missoula.co/cvirus for more information.
  • If you are sick, stay home and manage symptoms as you would any cold. Wipe down all “high-touch” surfaces daily (phones, counters, keyboards, doorknobs, etc.), try to use a separate bathroom from the rest of the family and avoid close contact with family members and pets.
  • If your symptoms become worse (fever, difficulty breathing and/or a cough), contact one of the focused screening centers listed above. Please note that the health department is not a focused screening center.
  • Wearing medical masks when not indicated is an unnecessary cost, could deprive access for medical providers and healthcare workers, and provide a false sense of security that can lead to neglecting other essential measures, such as hand hygiene practices.
  • The Missoula City-County Health Department hotline is available from 8 a.m. to 5 p.m. Monday through Friday to answer any questions or concerns. Call 406-258-INFO (4636).
  • Most cases of COVID-19 will not need emergency care or hospitalization.

Steps to take if you are well:

  • Practice social distancing. Avoid large groups, which includes restaurants, concerts and other public gatherings.
  • Wash your hands frequently and avoid touching your face.
  • Wipe down all “high-touch” surfaces daily (phones, counters, keyboards, doorknobs, etc.).
  • Continue to see your medical provider for your regularly scheduled visits to address all other health care needs. Please do not neglect your existing needs.
  • If you are otherwise healthy, you only need to wear a mask if you are taking care of a person with suspected COVID-19 or if you show symptoms of COVID-19.

Steps to take if you develop upper respiratory symptoms:

  • Stay home when you are sick and manage symptoms as you would any cold.
  • Try to use a separate bathroom from the rest of the family and avoid close, prolonged contact with family members and pets.
  • Cough or sneeze into an elbow or a tissue and throw it away immediately.
  • If you have a mask or handkerchief available to you and must go out in public, please wear the mask while you are away from your home.
  • Call your medical provider before coming in to be seen.

Other Missoula healthcare resources include:

Community Medical Center: Call the complementary 24/7 Nurse on Call for symptom evaluation, 406-327-4770. Patients with symptoms should call in advance of visiting the hospital or any clinic.

Partnership Health Center: Patients with symptoms should call the main line at 406-258-4789 before visiting a PHC site.

Providence Clinics – Call your primary care clinic for symptom evaluation. After hours/weekends, call the main clinic number or 1-855-PMG-TEAM (1-855-764-8326) for nurse on call.

Western Montana Clinic – Call your primary care provider first 406-721-5600 before arriving for symptomatic evaluation.

Cost Care – Call the clinic at 406-728-5841 before arriving for evaluation.

With the threat of a new illness in our state that could cause a surge of patients, we need the help of everyone to keep our most sensitive populations safe. Please be diligent with social distancing, washing hands, staying home when sick and coughing and sneezing into an elbow or tissue.

Additional information about the coronavirus is available on the Centers for Disease Control and Prevention (CDC) website, the Montana Department of Health and Human Services website and the Missoula City County Health Department website.

Accessing Missoula County services amid COVID-19 concerns

COVID questions

UPDATE, Tuesday, April 7:

  • Justice Court is taking steps to reduce unnecessary public contact. Please review the Justice of the Peace Standing Order for details regarding court operations. Please call the court at 406-258-3470 or email jpinfo@missoulacounty.us for more information.
    • Court appearances: Do not come to court. Justice Court is currently not holding in-person appearances. All court hearings are by telephone or video.
    • Pleadings (documents to be filed with the court) may be placed in the dropbox outside the courthouse, electronically filed or mailed to the court.
    • If you do not contest the charge, most tickets can be paid by calling 406-258-3470 or online at http://citepayusa.com without seeing a judge.
    • People who received a citation to appear should call or email. You may either make an appointment to appear by phone or continue your case to a later date.

UPDATE, Tuesday, March 31:

  • Commissioners and county staff are making changes to public meetings to encourage physical distancing. All public, administrative and department meetings will be held via Microsoft Teams meetings through April. The administrative and public meetings will be recorded. Members of the public and media can call in via a Microsoft Teams meeting link or a conference phone line listed on the top of each meeting agenda.
  • A Microsoft Teams meeting link and dial in information will be listed at the top of each meeting agenda.
  • Once called in, participants should mute their phones or computers unless speaking to eliminate background noise.
  • This information and the administrative and public meeting schedule are online at missoula.co/bccmeetings. MCAT will not stream the Thursday public meetings live, but the video will be uploaded to their Channel 190 after the meetings. Administrative and public meeting videos will also be uploaded to missoula.co/bccmeetings and to Missoula County’s YouTube channel.

UPDATE, Friday, March 27: 

In light of Montana Gov. Steve Bullock’s stay at home directive effective 12:01 a.m. Saturday, March 28, through Friday, April 10, and in collaboration with Missoula County elected officials and department heads, changes to Missoula County’s delivery of services are outlined below.

  • County public buildings will be closed to the public through the duration of the order, effective Monday, March 30. Those buildings include the courthouse, administration building, Relationship Violence Services, the health departmentCommunity and Planning Services and Public Works.
  • Buildings that were already closed to the public will remain so, including the librarysuperintendent of schoolshistorical museumrecords center and the fairgrounds.
  • County staff considered essential will alternate work schedules and continue working remotely as much as possible to minimize contact and adhere to physical distancing directives. Essential county staff who will continue to report to work in person include incident response, law enforcement, 9-1-1 dispatchers, court staff, public health, public works, technology, financial services, commissioners and commissioners’ support, and communications. Other staff will still be available to answer questions and serve the public remotely via telephone and email and will conduct business using online resources and the U.S. Postal Service as much as possible throughout the closure.
  • Check Missoula County department webpages for more information specific to their operations and changes to services. You can also call Missoula County at 721-5700 to connect with any department and learn more about adjustments to their operations.
  • Missoula County continues to contract with vendors to provide services for public activities such as elections, utility maintenance and construction and encourages them to follow all CDC and local guidelines to ensure physical distancing.

ORIGINAL POST, Sunday, March 15: 

With confirmed cases of COVID-19 in our community, Missoula County is encouraging the public to practice social distancing, i.e. limiting exposure to large groups in confined spaces. Many county departments have closed their facilities to the public or have altered service delivery in other ways to help stop the spread of the disease.

Below is a rundown of current service changes and how to access them online or by phone. It will be updated regularly. Thank you for your patience during this time and for taking steps to help curb the spread of the illness in our community.

Clerk and Recorder/Treasurer

The Clerk and Recorder/Treasurer is currently providing all services by phone at 406-258-4752 or online:

Title a vehicle purchased from a dealer: http://missoula.co/titlebyemail
Renew vehicle registration: http://missoula.co/registrationrenewal
Pay property taxes: http://missoula.co/paytaxes
Request vital records: http://missoula.co/vitalrecords
Record documents: http://missoula.co/erecording
Search documents: http://missoula.co/searchpublicrecords

Clerk of Court

Clerk of District Court staff will assist customers by phone at 406-258-4780 or email at  clerkofcourt@missoulacounty.us. Customers who are better served in our office will be required to follow posted guidelines.

Pro se litigants: email paperwork to clerkofcourt@missoulacounty.us (fee waived)
Apply for a marriage license: http://missoula.co/marriagelicense

Community and Planning Services

Offices closed to the public until further notice.

Planning, zoning and permit inquiries: 406-258-4642, zoner@missoulacounty.us
Other questions: 406-258-4657, caps@missoulacounty.us

County Attorney’s Office

Use customer service window and maintain 6-foot distance from other customers.

Crime Victim Advocate Program

CVA is limiting in-person services to 8:30 a.m. to 12:30 p.m. Monday through Friday. Services will be provided at the front window, one person at a time. If someone is currently being helped, please wait outside. Please call or email for assistance if you can. Advocates are available over the phone and email all day. 

Phone: 406-258-3830
Email: cva@missoulacounty.us
Website: https://www.missoulacounty.us/cva

Anyone in an emergency situation should call 9-1-1. Additionally, the YWCA of Missoula has a 24/7 Crisis Line: 406-542-1944.

District Court

District Court* judges have issued distributed an administrative order regarding court functions.

*District Court is a function of state government

Elections Office

The Elections Office is open to public but requests that voters use the drop box outside to return voter registration forms, absentee ballot applications and other documents, excluding ballots. The office requests that no more than two people are inside the office at a time. The office is encouraging all voters to register to vote by mail. The office will mail fliers to all polling place voters with an absentee ballot application that they can return by mail, postage paid.

Access forms online: www.missoulavotes.com 

Environmental Health

Information Desk is temporarily closed, but staff can answer questions by phone or email.

Call: 406-258-4755
Email: envhealth@missoulacounty.us

Those showing no symptoms of illness (especially coughing, fever or shortness of breath) can still come into the office to drop off or pick up water bottles, to drop off applications, etc. Front desk staff will maintain the social distancing practice of 6 feet separation between themselves and the customer.

Sanitarians will still do site evaluations, groundwater monitoring, complaint investigations, sanitation application reviews, site visits, building and zoning permit signoffs and will issue and inspect well and septic permits.  On-site inspectors will maintain the 6-foot social distancing separation.

GIS Department

Access services online:

Property Information System: http://missoula.co/propertyinfo
Address assignment: http://missoula.co/addressing
Road naming: http://missoula.co/roadnaming
Online map viewers: http://missoula.co/onlinemaps
GIS data downloads: http://missoula.co/datadownloads
Download maps: http://missoula.co/downloadmaps
Land records research: https://gis.missoulacounty.us/Research

Historical Museum at Fort Missoula

Closed until at least Monday, March 30. All events through May 3 postponed.

Justice Court

Residents should not come to the courthouse. Call the court at 406-258-3470 or email jpinfo@missoulacounty.us to address all issues.

Missoula Fairgrounds

All public gathering and events on the Fairgrounds, including at the ice rinks and election judge training, are canceled or postponed until after Monday, March 30. The Fairgrounds office also will be closed until March 30, with staff working remotely. Email fairgrounds@missoulacounty.us.

Missoula Public Library

Closed until further notice. Starting Thursday, March 19, lending services will end until further notice. Items cannot be returned during closure. The library will extend hold periods and waive overdue fines.

Updates and access to the digital collection: https://www.missoulapubliclibrary.org/

Partnership Health Center

Changes to the downtown clinic (Creamery Building):

  • If you have a cough, fever, or shortness of breath, we ask that you call our main line, 406-258-4789, before visiting one of our facilities.
  • All patients and visitors will be asked several questions related to COVID-19 symptoms prior to entering facilities. We ask that you please arrive at least 10 minutes early to your appointment.
  • In an effort to decrease exposure to illness, all PHC group meetings are being postponed.  If you participate in a PHC meeting or group, we will reach out to you directly with more specific information.
  • Our Patient-Family Advisory Council gathers have been postponed until further notice.
  • Our Clothing Closet will be closed until further notice.
  • Missoula Aging services appointments at Partnership Health Center are now canceled, with opportunities for phone calls as needed. Please call 406-258-4519 with any questions or concerns.
  • If you currently participate in behavioral health services, please note that all visits have moved to phone check-ins until further notice.
  • Dental services at our main facility (Creamery Building) will continue as normal until further notice. If you have a cough, fever, or shortness of breath, please call 406-258-4185 to reschedule.
  • Pharmacy services will continue as normal until further notice.

Changes at satellite clinics:

  • Western Montana Mental Health Center PHC Satellite Clinic: Closed until further notice.
  • Poverello Center Satellite Clinic: Will have limited staff and will is coordinating closely with our Creamery clinic.
  • Superior: Dental services postponed until further notice.  Behavioral health visits will be postponed or conducted remotely.  PHC will contact patients to discuss rescheduling or remote visit options.
  • Seeley Swan Medical Center: Will continue operating as normal. If you have a cough, fever or shortness of breath, please call 406-677-2277 before visiting. All patients and visitors will be asked several questions related to COVID-19 symptoms prior to entering facilities. We ask that you please arrive at least 10 minutes early to your appointment.
  • Lowell School Satellite Clinic: Closed until further notice.

 

Public Works

The Public Works facilities in Missoula and Seeley Lake will be closed to the public until further notice. Customers can access an exterior drop box outside of the Missoula office for building permit submittals and issuances.

The Building Division will only perform exterior or non-occupied structure inspections at this time. Emergency interior inspections will be reviewed on a case-by-case basis.

Apply for a construction-related permit online: www.missoulacounty.build

Sheriff’s Office

The Sheriff’s Office has discontinued all nonessential/non-emergent Sheriff’s Office business. These programs include:

  • Concealed weapons permits
  • Citizen Observer Program
  • Catering permits
  • Fingerprinting
  • All other office-related duties, determined on a case-by-case basis

The office reception desk will be staffed during regular business hours. Call 406-258-4810.

Weed District and Extension

The Weed District and Extension office is closed to the public until further notice. Residents can access information and services via email, phone and the website.

4-H: 406-258-4201
Family Consumer Science: 406-258-4206
Plant Clinic: 406-258-4213
General Weed District Questions: 406-258-4217
Weed District Grants: 406-258-4219
Re-vegetation Permits: 406-258-4218

Missoula health officials clarify COVID-19 testing procedures

Reduce coronavirus WHO

Missoula City-County Health Department and local hospitals have received several calls regarding testing for COVID-19.

“There is a lot of confusion among the public about testing for COVID-19, mostly around the expectation that anyone can get a test,” says Cindy Farr, incident commander for the county’s response team. “It’s not as simple as testing everyone in the community.”

One of the most significant points of confusion is how the test works. The current test is not designed to screen people for their risk of exposure to the virus. It can only diagnose someone with COVID-19 who is showing symptoms.

Another challenge with testing is the number of test kits available. While the Montana Department of Public Health and Human Services received approval to start testing for COVID-19 early last week, they had access to only 200 tests for the whole state, meaning resources need to be used judiciously. For a test to be completed at the state, local health care providers work with DPHHS and take into account a person’s likelihood of exposure, their symptoms, the severity of those symptoms, and the exclusion of other respiratory illnesses. These criteria were set to use resources effectively and ensure that those with a higher likelihood of having COVID-19 are diagnosed quickly.

Soon, a private lab will be able to process diagnostic tests for Missoula. While this is welcome news, that doesn’t change the nature of the test, as it is still a diagnostic test and not used for screening. It also does not increase the supply of tests, and health care providers will still need to assess the likelihood of COVID-19 before testing. While more testing is a good thing, Montana does not want labs overwhelmed with tests from unlikely candidates, resulting in delays diagnosing those who may have the disease.

“Hopefully, more resources will become available, but we need to work effectively with the resources we currently have,” Farr says. “Right now, the best tool we have in our community is prevention.”

The health department recommends the following precautions:

  • Wash your hands
  • Avoid close contact with people who are sick
  • Disinfect surfaces frequently
  • If you do exhibit symptoms of fever, coughing or shortness of breath, call your medical provider first and stay home except when seeking medical treatment

The public can call 406-258-INFO with questions or concerns about COVID-19. Local information also is online at http://missoula.co/cvirus.

Apply to serve on the new Missoula Food Policy Advisory Board

20180728_OrchHomes_8359

Are you interested in increasing local food security, promoting sustainable agriculture, building regional self-reliance and climate resiliency, and connecting food access programs to local, nutritious food? Then apply to serve on the Missoula Food Policy Advisory Board!

Missoula County, the City of Missoula and the Community Food and Agriculture Coalition recently partnered to establish the board, which will consist of seven voting members: three appointed by the county commissioners, two appointed by the City Council, one appointed by Missoula Mayor John Engen, and one appointed by CFAC. There also will be two alternate members who serve on the board and vote in the absence of a regular member.

“The creation of the Food Policy Advisory Board came as the result of fantastic intergovernmental cooperation and community participation,” said Commissioner Josh Slotnick. “I look forward to integrating expertly designed food and farming policy recommendations into our deliberations at the Board of County Commissioners.”

The appointing bodies may consider candidates who represent or specialize in these suggested areas:

  • local agricultural producers
  • retail food outlet (specifically a retail grocery and/or local restaurant)
  • educational institutions
  • emergency food providers
  • a nongovernmental organization or researcher working in the area of health, nutrition or medical care
  • a nongovernmental organization or researcher working in the area of local food systems and/or sustainable agriculture
  • a Missoula city/county established farmer’s market
  • a food-related, non-farm business
  • the youth community and other related fields of expertise required to accomplish the purpose of the advisory board

“I look forward to the Food Policy Advisory Board supporting existing community efforts and creating systemic change, on the city and county level,” said City Council Member Heidi West, who sponsored the initiative for the city. “This board has the potential to lead to improvements for all components of the local food and agriculture network while also resulting in policy to further existing goals around health equity, climate change resiliency and zero-waste goals.”

Meetings will be held from 3:30 to 5 p.m. on the third Monday of every month at the Missoula County Administration Building. Those interested in serving on the Food Policy Advisory Board and who represent one of the areas of expertise can apply for both city and county appointments online at or at the Commissioners’ Office at 199 W. Pine St. The deadline for all applications is Saturday, March 28.