Commissioner Byron Reed addresses board members about masks during a Board of Health meeting at the Eastern Idaho Public Health building on Thursday, July 9, 2020.

Teton County is the first in eastern Idaho where masks are mandatory in public and large gatherings are barred across the county as of last Thursday, July 16.

Eastern Idaho Public Health’s Board of Health approved an order for both measures that night on a unanimous vote.

The order was effective immediately and will remain in effect until regional officials choose to either repeal it, amend it or replace it with another order or public guidance. People who violate the order can be charged with a misdemeanor offense, which carries up to $300 in fines, 6 months in jail or both.

Teton has had 18 active COVID-19 cases since Monday, July 20 according to Eastern Idaho Public Health, the region’s health agency. On Monday, Eastern Idaho Public Health was eyeing Bonneville, Fremont and Jefferson Counties for the same mandate if COVID cases continue to rise.

Teton County has the highest rate of active COVID-19 cases in eastern Idaho relative to its population. Teton’s cases only include people who live in the county, not tourists, because Idaho health districts report COVID-19 cases by where people live, not where they contract COVID-19 or get tested.

One the biggest impacts felt by the ordinance was the Teton Valley Rodeo, who on Friday announced that they cancelled the July 17 event at the Fairgrounds in the hopes of trying to understand the new mandate. On Monday, Sean Moulton who was working with Teton Valley Rodeo, said that the order was unfortunate for the rodeo which draws more than 150 contestants alone on a single night which does not include the crowd. But Moulton added that the rodeo would comply with the terms until public health lifted the order.

Director for the rodeo, did not immediately return a request for comment.

The cities of Driggs and Victor already mandated masks. Both cities’ mandates levy simple fines — in Driggs, $100; in Victor, $250; — but the district’s mandate is enforceable only through a misdemeanor with fines, jail time, or both.Teton County’s active case rate is 12.9 active cases per 10,000 people. Bonneville, the region’s most populous county, has 7 active cases per 10,000 people. Across the region, there are 7.2 active cases per 10,000 people.

Eastern Idaho’s Board of Health determined earlier that the region is still in the green, or the lowest of four coronavirus risk levels — minimal, moderate, high and critical. The board adopted a plan on Tuesday with metrics to meet those tiers, and mandates and public guidelines that should come in each tier.

To reach the moderate level, a county or the whole region would have to have more than 10 active cases per 10,000 people. Teton breached that threshold for days, pushing the county into the next risk level where board members decided — after much consternation — masks should be mandatory.

Health district director Geri Rackow said in 14 days, the incubation period for COVID-19, the board will reevaluate Teton’s mandates. If it drops below the 10 active cases per 10,000 people threshold, the board may reconsider, she said. If not, the mandates will stay in place.

“We need to give it time to do the job it’s intended to do, which is to slow the spread of the disease and bring the rate down,” Rackow said.

Terms of the mandates

The board’s restriction on social gatherings applies to any gathering, public or private, for groups of more than 150 people. The order doesn’t outline any exceptions to this restriction.

The mask mandate says, when in public and unable to maintain 6 feet of physical distance from “non-household members,” all people must wear a mask that “completely covers the nose and mouth.” The order defines masks, public places and offers several exceptions to people who won’t have to wear masks, including people with conditions that make them unable to.

Masks are defined in the order as being made of “cloth, fabric, or other soft or permeable material, without holes” that cover parts of people’s lower face and comply with CDC guidance on masks. The masks “may be factory-made or may be handmade and improvised from ordinary household materials.”

There are six exemptions to the mask mandate, which can be found at this link:

The mandate says the rules don’t apply to:

Children less than 2 years old;

People “with a medical condition, mental health condition, or disability that prevent them form wearing a face covering. A person is not required to provide documentation demonstrating that the person cannot tolerate wearing a face covering”;

People who “are hearing impaired or are communicating with a person who is hearing impaired where the ability to see the mouth is essential for communication”;

People, “including on-duty law-enforcement officers, for whom wearing a face covering would create a risk to the person related to their work, as determined by local, state, or federal regulators or workplace safety guidelines”;

People “who are obtaining a service involving the nose, face or head for which temporary removal of the face covering is necessary to perform the service;” and

People “who are eating or drinking at a restaurant or other establishment that offers food or beverage service, so long as they are seated at a table and able to maintain a distance of 6 feet ... from persons who are not members of the same household or party as the person. This exemption does NOT apply to entry, exit, or other movement through the facility.”

Idaho law grants health districts broad powers to levy restrictions that protect public health, including quarantines, attorney Michael Kane previously told the board. Kane also has said that any orders a health district issues carry misdemeanors, while orders by cities can carry less severe punishments.

Cities in Teton County can levy more stringent restrictions than the health district’s board has but not laxer ones.

Teton County Sheriff Tony Liford told the Post Register before the vote that he doesn’t know what the mask mandate would be, but he said he would not enforce it criminally. He said people are already wearing masks without a mandate. (Both Driggs and Victor had masks mandate prior to Thursday, but they only carried simple fines.)

“I’m not turning citizens, members of this community and putting a mark on their criminal history. I think this is overreach,” Liford said in an interview. “And I think this isn’t New York. This isn’t Chicago. This isn’t California. This is Teton County, Idaho. What are we at? 27 cases. The reaction here I think is way over the top.”

The coronavirus can spread through respiratory droplets that people breath out when they exhale, cough, sneeze or talk. When someone wears a mask, it blocks many of the droplets they exhale — reducing the likelihood that someone who wears a mask will spread it to others.

In addition to reducing the spread of the coronavirus, some burgeoning research suggests that masks can protect the wearer by reducing the amount of respiratory droplets they inhale from others, according to a story in the Los Angeles Times this week that cited infectious diseases specialists. The research suggests masks by reducing the viral load that mask-wearers breath in, masks make severe symptoms less likely, the Times reported.

Last month, a University of Iowa study indicated “states in the US mandating use of face masks in public had a greater decline in daily COVID-19 growth rates after issuing these mandates compared to states that did not issue mandates.”

Jeannette Boner contributed to this reporting.

Reporter Kyle Pfannenstiel can be reached at 208-542-6754. Follow him on Twitter: @pfannyyy. He is a corps member with Report for America, a national service program that places journalists into local newsrooms.