Gov Edwards issues guidance following surge in COVID cases including masking

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Posted at 1:14 PM, Jul 23, 2021
and last updated 2021-07-23 17:34:53-04

Louisiana is currently now in a 4th surge of COVID cases. On Friday, Governor John Bel Edwards issued a number of recommendations to residents to help mitigate the surge.

As COVID-19 cases and hospitalizations continue to rise in Louisiana, and following the designation of Louisiana by the White House as a “state of concern” because of its rapid case growth and insufficient vaccination rate, today Gov. John Bel Edwards and the Louisiana Department of Health issued updated guidance recommending that all people, both vaccinated and unvaccinated, wear masks indoors when at least six feet of distancing is not physically possible during the fourth surge of COVID-19.

Updated LDH guidance on masking, testing for vaccinated people and workplace accommodations is part of Louisiana’s strategy for ending its fourth surge of COVID, alongside increasing its vaccination rate. Additional measures may be announced later if the situation worsens.

“The White House has notified Louisiana that we are a State of Concern because we are the leading edge of the COVID-19 surge, due to the rapid spread of the Delta variant among the unvaccinated in our state. Indeed, Louisiana leads the nation in case growth, with 47 cases per capita. This should come as no surprise to anyone who has watched our case counts and hospitalizations continue to climb, and it necessitates additional guidance for how all people should stay safe in Louisiana right now, including wearing masks indoors, when unable to maintain social distancing, testing after suspected exposure even if they are vaccinated and, if possible, working remotely from home to limit exposure to groups,” Gov. Edwards said. “Right now, Louisiana has the best tool it has ever had to fight this surge: the COVID-19 vaccines. Encouragingly, our weekly vaccination rate has bumped up which I believe means everyone knows how urgent the situation is. We need even more people in our state to go sleeves up and take the COVID-19 vaccine. Increased vaccinations, when coupled with more masking, testing and distance, can get us out of the fourth surge, but only if people take action quickly.”

“We are in a very dangerous surge right now,” said Dr. Joseph Kanter, State Health Officer. “To ensure their own safety people in Louisiana should take precautions immediately. Masking and testing will limit death and suffering until we make it through this.”


In light of sharply increasing COVID-19 cases and hospitalizations throughout Louisiana, and as the nation learns more about the transmission dynamics of Delta breakthrough cases, today the Louisiana Department of Health recommends additional layers of protection for all residents, regardless of vaccination status. This updated guidance includes:

  • All people — vaccinated and unvaccinated — should wear face masks while indoors if 6 feet of physical distance cannot be maintained.
  • All businesses should review their operations to accommodate employees in a way that reduces unnecessary contact to avoid the spread of COVID in the workplace.
  • All people should take a COVID test immediately after a known or suspected exposure to COVID-19.
  • If positive, they should isolate immediately.
  • If negative, they should retest again between five and seven days post-exposure.
  • If they develop symptoms of COVID-19 at any point they should test and immediately isolate pending the results.

This guidance will remain in place at least until Louisiana is safely out of its fourth COVID-19 surge, with additional guidance and mitigation measures put in place if and when necessary to slow the spread of the more contagious and virulent Delta variant and preserve hospital capacity.

The following guidance from LDH and the CDC has not yet changed:

  • At this time CDC advises that fully vaccinated individuals do not need to quarantine following an exposure to COVID-19, and LDH is not yet altering this guidance.
  • Anyone with symptoms of COVID-19, even those who are fully vaccinated or without a known exposure, should get tested.
  • Anyone who tests positive should immediately isolate. Isolation (for those who test positive for COVID-19) typically consists of:
  • If symptomatic, at least 10 days since symptoms first appeared, symptoms are improving, and at least 24 hours with no fever without fever-reducing medication
  • If asymptomatic but with a positive test, 10 days from the time the test sample was collected.

Local leaders may implement mitigation measures that are more comprehensive that the current state guidelines should they feel this is best for their communities. In addition, local school boards currently set masking and mitigation policies for their schools.


Under the Governor’s proclamation, heads of state government agencies will be authorized to enact masking procedures and mandates indoors when social distancing is not possible. Starting Monday, June 26, executive branch agencies in the Governor’s cabinet will mandate masks indoors of state buildings when distancing is not possible, for employees and visitors.
In addition, appointing authorities are directed to review their current operations to accommodate employees in a way that reduces unnecessary contact to avoid the spread of COVID in the workplace.

People with COVID-19 have had a wide range of symptoms reported – ranging from mild symptoms to severe illness. Symptoms may appear two to 14 days after exposure to the virus. Anyone can have mild to severe symptoms. People with these symptoms may have COVID-19:

  • Fever or chills
  • Cough
  • Shortness of breath or difficulty breathing
  • Fatigue
  • Muscle or body aches
  • Headache
  • New loss of taste or smell
  • Sore throat
  • Congestion or runny nose
  • Nausea or vomiting
  • Diarrhea

This list does not include all possible symptoms and the CDC continues to update this list as it learns more about COVID-19. Older adults and people who have severe underlying medical conditions like heart or lung disease or diabetes may be to be at higher risk for developing more serious complications from COVID-19 illness.


On Wednesday, the state saw the 3rd highest case count since the start of the pandemic. Friday, COVID case numbers were similarly high for the state.

Governor Edwards said that Louisiana has the highest growth rate of new cases per capita per any state in the US. The Delta variant is the majority of new cases in the state and many positive cases are with unvaccinated individuals.

"The overwhelming majority of people getting sick and dying are unvaccinated," he said. Over 90 percent of COVID cases are now with unvaccinated individuals.

Governor John Bel Edwards announced additional guidance to the public, including recommending wearing masks for vaccinated and unvaccinated people.

Concerning COVID in that state, case positivity is currently at 8.7 percent which is up from 6.3 percent last week. That postivity is expected to increase.

Hospitalizations have also increased. 1,008 people are reported in hospitals in the state. 82 are on ventilators.

Edwards says that just over 40 percent of Louisianans have received at least one vaccine, which is far below from what is needed to slow the spread.

The rate of vaccination and surge in COVID cases has caused the White House to label Louisiana as a state of concern. Edwards continued to encouraged people to get the vaccine.

In the past two weeks, we have lost 6 months of progress, officials say.

Dr. Joseph Kanter with the Louisiana Department of Health says that the amount of hospitalizations have quadrupled. The increase has put heavy stress on hospitals. Around 6,000 nursing positions are available in the state.
The cause of the vacancies, Edwards says, fter a year and a half working during the pandemic.

On the Delta variant, Kanter says it is known that it causes those with the virus to have an increased viral load. With low vaccination rates it is "the perfect storm," he said.

Breakthrough cases, which are positive COVID cases with vaccinated individuals, are rare but do happen. Kanter says they are mild cases or patients are asymptomatic. People with serious complications, are often those who are already at risk of serious complications, those with advanced age and co-morbidity. The average age of breakthrough patients is 73 years old.

"There is no question about it, that we will see breakthrough cases. As the amount of COVID goes up, so will the breakthrough cases," Kanter said. "The vaccine provides excellent protection. There is absolutely no question that to prevent getting sick is to get vaccinated."

Concerning schools, Edwards says that right now, school districts have made their decisions individually. There are recommendations from national organizations and the state is working with schools systems every day.

Edwards says that his recommendations will not change. Indoors, individuals who are not vaccinated should be masked. He does not have any intention to take the decision on masking away from the local school systems.

"I am not taking anything off the table. I hope that we don't have to go back," Edwards said. "If people do the things we talked about today, we won't have to."

Dr. Kanter says that every school in the state will have robust testing resources. Any school that wishes to make testing available to students and staff, they will have that.

"We want to make sure they have in-person learning with little interruption as possible," Kanter said.

Edwards says that there are increases in vaccinations and he hopes that the increases continue in the state. "We made a U-turn and we are surging again but we can get back on that one-way road out of the pandemic."

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