Health Commissioner's Order No. 4

Order number four on 3/20/2020, prohibiting all public and private events and gathering with more than 10 attendees in the City of St. Louis

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Health Commissioner's Order No. 4 (PDF)

By the authority vested in me by Article XIII, Section 14-C (c) of the Charter of the City of St. Louis and by 19 CSR 20-20.050(c) of the Code of State Regulations I hereby order as follows:

  1. Effective 12:01 a.m. on Friday, March 20, 2020, all public and private events and gatherings with more than 10 attendees are prohibited; including conferences, festivals, parades, concerts, sporting events, weddings, and other assemblies are forbidden; this paragraph does not include the day to day operations of schools, institutes of higher learning, and businesses.
  2. For the avoidance of doubt, businesses providing food, food processing, agriculture, industrial manufacturing, construction, trash collection, retails, grocery and consumer goods, home repair/hardware and auto repair, pharmacy, and other medical facilities, biomedical and healthcare, post offices, insurance, banks, gas stations, laundromats, veterinary clinics and pet stores, warehousing, storage, and distribution, public transportation, child care facilities, hotels, and commercial lodging may remain open, subject to limitations provided in prior orders, but must to the extent practicable, implement Centers for Disease Control guidance, including:
  • Maintain a distance of 6 feet between persons;
  • Ensuring employees practice appropriate hygiene measures, including regular, thorough handwashing;
  • Ensuring that employees who are sick remain home; and
  • Regularly cleaning and disinfecting frequently touched objects and surfaces.
  1. Restaurants, Restaurant Carry-Out, Restaurant Bars, and Bars are not subject to this order, but instead are subject to my order of March 18, 2020.


Frederick Echols, M.D.

Director of Health & Hospitals/Health Commissioner        

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