Return To Competitive Athletics and Activities - Final
Return To Competitive Athletics and Activities - Final
Return To Competitive Athletics and Activities - Final
Based on currently known information, the MPA Sports Medicine Advisory Committee
believes that STRICT ADHERENCE by schools and teams to these guidelines, and to each
district’s COVID-19 prevention plan, should provide a reasonably safe environment for
return to educational programming and school-based athletics and community-based
athletics. It is important to remember that all sports and activities carry a potential risk of
injury and illness. The risk of contracting COVID-19 illness is in addition to the underlying
risks of a given sport or activity. It is also important to note that participation in any
competitive sport and/or activity is strictly voluntary for both the individuals and the schools.
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Reducing exposure to respiratory droplets through physical distancing and face coverings,
as well as increased hand hygiene and avoidance of shared and common touch items,
remain the primary tools to mitigate the spread of COVID-19. Because of the increased
possibility of infection through droplets, vigorous exercise in closely confined spaces should
be avoided.
Sports and activities present multiple challenges in the effective use of primary prevention
strategies. These challenges include:
Risk of exposure to the virus due to close physical proximity during sports and
activities through participation in the sport activity itself, group seating, and group
travel.
Increased risk during intense and sustained physical contact whether purposeful or
accidental.
Increased projection of respiratory particles during cardiovascular activities, yelling or
shouting as part of play, or common sneezing or coughing. This increase in
projection of droplets can be up to 14 feet. Face coverings are an effective tool to
reduce the risk of viral transmission between individuals.
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The Maine DHHS and Maine CDC have developed a Health Advisory System to categorize
counties for school district’s use. “Green” suggests that the county has a relatively low risk
of COVID-19 spread and that schools may consider in-person instruction, if they can meet
each of the minimum health and safety requirements. “Yellow” suggests that a county has
an elevated risk of COVID-19 spread, so schools may consider additional precautions to
reduce the number of people in classrooms at any one time and decrease interactions and
risk. This includes school sports: given the somewhat greater risk of sports than in-person
education, school districts should suspend competitions and group practices, and apply the
same or greater reductions in school sport activities that it applies to in-person education.
“Red” suggests a county has a high risk of COVID-19 spread and that in-person instruction
and all school sports are inadvisable. The county-level color designations are advisory for
school administrators. Those administrators may consider local conditions and make their
own decisions.
Type of Play
The following types of play are defined by level from least to greatest risk. Across all types
of play, keep players together in small, stable groups (i.e. cohorts) with dedicated coaches
or staff. Ideally, these cohorts should include fewer than 30 individuals.
Note: Individuals traveling or returning to Maine must follow the executive order on travel
and rules explained in the Keep Maine Healthy plan. This includes a requirement that all
out-of-state travelers coming into Maine, as well as Maine residents returning to Maine,
complete a 14-day quarantine upon arrival or have a negative COVID-19 PCR test no
longer than 72 hours of arrival with quarantine while waiting for the result (unless that travel
is to or from an exempted state). Check the website of the Maine Centers for Disease
Control for updated information on exemptions to this requirement. Please note that
competition between teams from different states is not recommended at this time.
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Type of play allowed, based on risk level of sport or activity
At this time, sports are restricted to the types of play presented in the table below based on
the level of risk associated with the sport or activity. During all activities, the public health
measures in this guidance must be followed (e.g., hand hygiene, cleaning and disinfecting,
face coverings, etc.) These recommendations will be updated as conditions change.
Levels of Play
Risk level characteristics Examples
Allowed
Lower Risk
Sports and activities that can Examples: Batting cages, tennis, Levels 1-5
be done with physical pickleball, individual swimming, (indoor or
distancing and no physical catch, disc golf, golf, individual outdoor)
contact biking, surfing, horseback riding,
Sports and activities that can crew/sailing, fishing, hunting,
be done individually motor sports, gymnastics,
weightlifting, single sculling,
throwing events (javelin, shot put,
discus, hammer), jumping events
(high jump, pole vault, long jump,
triple jump), skiing, cross country
events where physical distance
can be maintained
Moderate Risk
Higher Risk
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Levels of Play
Risk level characteristics Examples
Allowed
High-Risk Populations
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General Guidance
1. Organizers of competitive sports and activities are responsible for limiting the number
of individuals that can gather in a shared space, in accordance with the Governor’s
Executive Order on gathering size limits, currently set at 50 people indoors and 100
people outdoors or fewer if distancing rules cannot be accommodated.
a. Players, coaches, volunteers, officials, and spectators count toward the
gathering limit.
b. If a space cannot accommodate the gathering limit without complying with the
six-foot distancing requirement, occupancy in that space must be limited to
allow for such compliance.
2. Require individuals to wear a face covering when physical distancing is difficult to
maintain, per CDC recommendations and pertinent Executive Orders from the Office
of the Governor.
a. Face coverings are not currently recommended for players during active
practice or competition, although athletes may wear face coverings during
vigorous activity if they chose to do so. Face coverings must be used when not
engaged in vigorous activity (e.g. during low to moderate intensity exercise,
during coaching strategy sessions, in bench area).
b. Unless the governing body for your sport has a specific recommendation
regarding plastic face shields, do not wear them in place of a face covering
given potential safety risks.
c. Face coverings must be worn by coaches, staff, officials, and spectators.
d. To facilitate the use of a face covering, coaches and officials must use an
artificial noisemaker such as an air horn in place of a whistle or keep the
whistle inside the face covering.
3. Require individuals to maintain 6 feet of physical distance from individuals who are
not part of their household group whenever possible.
a. Organizers should identify staff members or volunteers to help maintain
physical distancing among players, coaches, umpires/referees, and
spectators.
b. Space players at least 6 feet apart whenever possible (e.g., during warmup,
skill building activities, simulation drills, when explaining drills or the rules of
the game).
c. Spectators must maintain 6 feet of physical distance between themselves and
other spectators as well as players. Prohibiting cheering and yelling is
recommended. Clapping, ringing cowbells, and other activities that do not
involve the projection of respiratory droplets are low-risk alternatives.
d. Discourage unnecessary physical contact, such as high fives, handshakes, fist
bumps, or hugs
1. Inform participants and spectators of the district COVID-19 policies and procedures
in advance, if possible, via website, newsletters, social media channels, etc.
a. Coaches are encouraged to send a welcome email or call players and/or
parents to inform them about actions that the program will take to protect
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players. During these calls, coaches should remind them to stay home if they
are sick or have been around someone who is sick.
2. Place signage at entrances and throughout the venue alerting individuals to required
gathering limits, physical distancing requirements, face covering policies, symptoms
of COVID-19, and other health and hygiene reminders. The federal CDC has
developed free, printable posters on these topics (see: Print Resources; For
communications resources specific to sporting activities see: Considerations for
Youth Sports).
3. It is strongly recommended that program organizers and coaches remind players,
spectators, and staff that if they are ill (e.g. have a fever or cough) they must not visit,
train, or play. Signage reminding individuals of the signs and symptoms of COVID-19
is highly recommended.
4. Consider using announcements and/or recorded messages to communicate COVID-
19 policies to individuals during their time at the venue, if applicable.
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b. Self-screen using the following questions:
1. Do you feel ill or have you been caring for someone who is ill?
2. In the past two weeks, have you been exposed to anyone who tested
positive for COVID-19?
6. Promote frequent handwashing or hand sanitizing with all participants engaged in
sports activities. If soap and water are not readily available, use hand sanitizers with
a minimum of 60% alcohol content. Handwashing and/or sanitizing should occur
before and after the sport activities, and more often if the activity involves the use of
shared objects.
a. Providing a method to rinse hands before applying hand sanitizer is
recommended for situations where participants may become dirty or dusty.
b. Encourage visitors to be prepared to bring their own hand sanitizer with at
least 60% alcohol for use in facilities where soap and water are not readily
available.
7. Educate players about covering coughs and sneezes with a tissue or their elbow.
Discourage spitting.
8. For contact tracing purposes, to the extent practicable, organizers should maintain a
record including contact information for athletes and coaches who have direct
prolonged interaction.
a. Based on current knowledge, a close contact is someone who was within 6
feet of an infected person for at least 15 minutes starting from 48 hours before
illness onset until the time the patient is isolated. Close contacts should stay
home, maintain physical distancing, and self-monitor until 14 days from the
last date of exposure.
9. Follow the Maine CDC recommendations for reporting when a person involved in
school sports is confirmed positive for COVID-19 or a close contact of such a person
(see the Standard Operating Procedure for Investigation of COVID-19 in Pre-K-12
Schools in Maine is posted on the Department of Education website).
10. Encourage players to wait in their cars until just before the beginning of a practice,
warm-up, or game, instead of forming a group.
11. If practice or competition facilities must be shared, consider increasing the amount of
time between practices and competitions to allow for one group to leave before
another group enters the facility/venue. This will minimize interaction between
individuals at points of ingress and egress and allow time for cleaning and
disinfecting.
12. Prohibit activities and events such as off-site competitions or excursions (e.g.,
watching a professional team compete).
13. Limit the number of players sitting in confined player seating areas (e.g., dugouts).
Ensure 6 feet of physical distance by allowing players to spread out into spectator
areas if more space is available.
14. Provide physical guides, such as signs and tape on floors or playing fields, to make
sure that coaches and players remain at least 6 feet apart.
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a. Increase the percentage of outdoor air (e.g., using economizer modes of
HVAC operations) potentially as high as 100% (first verify compatibility with
HVAC system capabilities for both temperature and humidity control as well as
compatibility with outdoor/indoor air quality considerations).
b. Increase total airflow supply to occupied spaces, if possible.
c. Disable demand-control ventilation (DCV) controls that reduce air supply
based on temperature or occupancy.
d. Consider using natural ventilation (i.e., opening windows if possible and safe
to do so) to increase outdoor air dilution of indoor air when environmental
conditions and building requirements allow.
2. Take steps to ensure that all water systems and features (for example, drinking
fountains) are safe to use after a prolonged facility shutdown to minimize the risk of
disease. Further guidance is available from the CDC (see: Guidance for Reopening
Buildings After Prolonged Shutdown or Reduced Operation).
3. Consider restricting the use of water fountains to water bottle refill only with
instruction for individuals to wash or sanitize hands after use.
4. Require any organizations that share or use the sports facilities to follow the
considerations in this guidance.
1. Clean and disinfect frequently touched surfaces on the field, court, or play surface at
least daily, or between uses as much as possible. Use of shared objects and
equipment (e.g., balls, bats, gymnastics equipment) should be limited and objects
should be cleaned between uses if possible.
2. Identify a staff member or volunteer to ensure proper cleaning and disinfection of
objects and equipment, particularly for any shared equipment or frequently touched
surfaces.
3. Cleaning products should not be used near children, and staff should ensure that
there is adequate ventilation when using these products to prevent children or
themselves from inhaling toxic fumes.
4. Use gloves when removing garbage bags or handling and disposing of trash. Wash
hands after removing gloves.
5. Refer to the following documents for guidance on general cleaning and disinfection:
a. COVID-19 Prevention Checklist General Guidance (State of Maine)
b. Cleaning and Disinfecting Your Facility (CDC)
c. Guidance for Cleaning and Disinfecting Public Spaces, Workplaces,
Businesses, Schools and Homes (CDC)
1. Participants should bring and use their own equipment when possible, or have
equipment designated and labeled for individual use by the organization.
2. Discourage sharing of items, especially those that are difficult to clean, sanitize, or
disinfect. Do not let players share towels, clothing (e.g. uniforms, pinnies), or other
items they use to wipe their faces or hands.
3. Make sure there are adequate supplies of shared items to minimize sharing of
equipment to the extent possible (e.g., protective gear, balls, bats, water bottles);
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otherwise, limit use of supplies and equipment to one group of players at a time and
clean and disinfect between use.
4. Keep each player’s belongings separated from others’ and in individually labeled
containers, bags, or areas.
5. If food is offered at any event, have pre-packaged boxes or bags for each attendee
instead of a buffet or family-style meal. Avoid sharing food and utensils.
6. Water bottles should be labeled to avoid cross-contamination.
1. Keep players together in small, stable groups with dedicated coaches or staff, and
make sure that each group of players and coach avoid mixing with other groups as
much as possible.
2. Teams might consider having the same group of players stay with the same coach or
having the same group of players rotate among coaches.
3. Consider staging within-team scrimmages instead of playing games with other teams
to minimize exposure among players and teams.
References:
Maine Department of Economic and Community Development – Phase 2 Community Sports
https://www.maine.gov/decd/checklists/community-sports
The National Federation of State High School Associations – Guidance for Opening Up
High School Athletics and Activities https://www.nfhs.org/media/3812287/2020-nfhs-
guidance-for-opening-up-high-school-athletics-and-activities-nfhs-smac-may-15_2020-
final.pdf
US CDC Youth Sports Guidance: https://www.cdc.gov/coronavirus/2019-
ncov/community/schools-childcare/youth-sports.html
US CDC Face Covering Guidance: https://www.cdc.gov/coronavirus/2019-ncov/prevent-
getting-sick/cloth-face-cover-guidance.html
World Health Organization Guidance on Children and Masks: https://www.who.int/news-
room/q-a-detail/q-a-children-and-masks-related-to-covid-19
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Appendix – Return to Play Guidelines
A—General Recommendations
B—Golf
C—Cross Country
D—Field Hockey
E—Soccer
F—Volleyball
G—Football
H—Cheerleading
I—Officials
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