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Important update: Healthcare facilities
CDC has updated select ways to operate healthcare systems effectively in response to COVID-19 vaccination. Learn more
To maximize protection from the Delta variant and prevent possibly spreading it to others, get vaccinated as soon as you can and wear a mask indoors in public if you are in an area of substantial or high transmission.
UPDATE
Given new evidence on the B.1.617.2 (Delta) variant, CDC has updated the guidance for fully vaccinated people. CDC recommends universal indoor masking for all teachers, staff, students, and visitors to K-12 schools, regardless of vaccination status. Children should return to full-time in-person learning in the fall with layered prevention strategies in place.

Considerations for Casinos and Gaming Operations

Considerations for Casinos and Gaming Operations

increased risk for severe illness from COVID-19

As some casinos and gaming operations resume in some areas of the United States, CDC offers the following considerations for ways in which casino and gaming operators can help protect staff and customers and slow the spread of COVID-19.  Casinos and gaming operations can determine, in collaboration with local, state, territorial, federal, or tribal health officials, whether and how to implement these considerations, making adjustments to meet the needs and circumstances of the local community. Implementation should be guided by what is feasible, practical, acceptable, and tailored to the needs of each community. For more information on bars and restaurants within casinos, please see CDC’s Considerations for Restaurants and Bars. These considerations are meant to supplement—not replace—any local, state, territorial, federal, or tribal safety laws, rules, or regulations with which businesses must comply.

Guiding Principles to Keep in Mind

The more an individual interacts with others, and the longer that interaction, the higher the risk of COVID-19 spread. The risk of COVID-19 spread increases in a casino or gaming setting as follows:

Lowest Risk

More Risk

Even More Risk

Highest Risk

Lowest Risk

Gaming activities are only available in virtual or online format.

More Risk

Casinos are open but with limitations to allow social distancing and disinfection of machines between uses.

Activities are limited to gaming machines and equipment that do not require a dealer and that can be played by one customer at a time and disinfected between uses.

Individuals remain spaced at least 6 feet apart (2 arms’ length) while seated or standing.

Sharing of gaming materials and equipment is not allowed.

Even More Risk

Casinos are open but with limitations to allow social distancing.

Games that require a dealer and that allow multiple players at the same time are offered, but the number of players is limited.

Individuals remain spaced at least 6 feet apart while seated or standing.

When possible, casino limits customers’ sharing of objects such as dice, card shoes, shufflers, and roulette wheels, Pai Gow tiles, pit podiums, blackjack discard holders, and toke boxes. Casino cleans and disinfects these objects between uses as much as possible.

When possible, casino limits sharing of items that are difficult to clean and disinfect, such as cards, and holds items for 72 hours before reuse of these items.

Highest Risk

Casino and gaming operations are open at full capacity.

Games that require a dealer and that allow multiple players at the same time are offered.

Individuals are not spaced apart while seated or standing.

Sharing of gaming materials and equipment is permitted with no restrictions.

Know How the Virus Spreads

The virus that causes COVID-19 is mostly spread by respiratory droplets released when an infected person talks, coughs, or sneezes. These droplets can land in the mouths or noses people who are nearby or possibly be inhaled into the lungs. It is thought that the virus may spread to hands from a contaminated surface and then to the nose or mouth, causing infection. Infected people can spread the virus whether or not they have symptoms. Therefore, personal prevention practices (such as handwashing, staying home when sick) and environmental cleaning and disinfection are important principles that are covered in this document.

Fortunately, there are a number of actions operators of casinos and gaming operations can take to help lower the risk of COVID-19 exposure and spread.

Promoting Behaviors that Reduce Spread

Casinos and gaming operations may consider implementing strategies to encourage behaviors that reduce the spread of COVID-19 among staff and customers.

  • Staying Home when Appropriate
  • Hand Hygiene and Respiratory Etiquette
    • Recommend and reinforce frequent staff and customer hand hygiene behaviors (e.g., before, during, and after touching gaming tokens, cards, and other frequently touched surfaces). Encourage handwashing with soap and water for at least 20 seconds. If soap and water are not readily available, provide hand sanitizer that contains at least 60% alcohol.
    • Remind staff and customers to avoid touching their eyes, nose, and mouth.
    • Encourage staff and customers to cover coughs and sneezes with a tissue or to use the inside of their elbow. Used tissues should be thrown in the trash and hands washed immediately with soap and water for at least 20 seconds.
      • If soap and water are not readily available, provide hand sanitizer that contains at least 60% alcohol.
  • Masks
    • Recommend and reinforce the use of masks among staff and customers. Masks should be worn as feasible and are most essential in times when social distancing is difficult. Individuals should be frequently reminded not to touch the mask and to wash their hands frequently. Provide information to staff and customers on proper use, removal, and washing of masks.
      • Note: Masks should not be placed on:
        • Babies and children younger than 2 years old
        • Anyone who has trouble breathing or is unconscious
        • Anyone who is incapacitated or otherwise unable to remove the mask without assistance
    • Masks are meant to protect other people in case the wearer is unknowingly infected and does not have symptoms.
  • Adequate Supplies
    • Ensure you have accessible sinks and enough supplies for people to clean their hands and cover their coughs and sneezes. Supplies include soap and water, a way to dry hands (e.g., paper towels, hand dryer), tissues, no-touch/foot pedal trash cans (preferably covered), masks (as feasible), and hand sanitizer containing at least 60% alcohol (placed adjacent to every card table or table game, if supplies allow).
  • Signs and Messages
    • Post signs in highly visible locations (e.g., at entrances, in restrooms, on televisions) that promote everyday protective measures and describe how to stop the spread of germs, such as by properly washing hands and properly wearing a mask. Provide signs and messages in multiple languages.
    • Broadcast regular announcements about reducing the spread of COVID-19 on PA systems. Include messages (for example, videos) about behaviors that prevent spread of COVID-19 when communicating with staff and customers (such as on business websites, in emails, and on social media). Ensure messages are culturally appropriate.
    • Find free CDC print and digital resources in a variety of languages on CDC’s communications resources main page.

Maintaining Healthy Environments

When to Clean

Cleaning with products containing soap or detergent reduces germs on surfaces and objects by removing contaminants and may weaken or damage some of the virus particles, which decreases risk of infection from surfaces.

Cleaning high touch surfaces and shared objects once a day is usually enough to sufficiently remove virus that may be on surfaces unless someone with confirmed or suspected COVID-19 has been in your facility. Disinfecting (using disinfectants on U.S. Environmental Protection Agency (EPA)’s List Nexternal icon) removes any remaining germs on surfaces, which further reduces any risk of spreading infection.  For more information on cleaning your facility regularly and cleaning your facility when someone is sick, see Cleaning and Disinfecting Your Facility

When to Disinfect

You may want to either clean more frequently or choose to disinfect (in addition to cleaning) in shared spaces if certain conditions apply that can increase the risk of infection from touching surfaces.

If there has been a sick person or someone who tested positive for COVID-19 in your facility within the last 24 hours, you should clean AND disinfect the space.

Use Disinfectants Safely

Always read and follow the directions on how to use and store cleaning and disinfecting products. Ventilate the space when using these products.

Always follow standard practices and appropriate regulations specific to your facility for minimum standards for cleaning and disinfection. For more information on cleaning and disinfecting, see Cleaning and Disinfecting Your Facility.

Maintaining Healthy Operations

Casinos and gaming operations may consider implementing strategies to maintain healthy operations.

  • Protections for Staff at Higher Risk for Severe Illness from COVID-19
    • Offer options for staff at higher risk for severe illness (including older adults and people of all ages with certain underlying medical conditions) that limit their risk of exposure (e.g., telework and modified job responsibilities).
    • Consistent with applicable local, state, territorial, federal, or tribal privacy and confidentiality laws and regulations, put in place policies to protect the privacy of people at higher risk for severe illness.
  • Regulatory Awareness
    • Be aware of local, state, territorial, federal, or tribal policies and recommendations related to group gatherings to determine if events can be held.
  • Gatherings
    • Avoid scheduling group events (e.g., large concerts, shows), gatherings, or meetings where social distancing of at least 6 feet between people cannot be maintained.
  • Staggered or Rotated Shifts
    • Stagger or rotate shifts to limit the number of staff on the floor at the same time.
    • Stagger and limit playing times to minimize the number of customers in the establishment.
  • Travel and Transit
    • Encourage staff who use mass transit to consider using other transportation options (e.g., walking or biking, driving or riding by car alone or with household members only), if feasible.
    • Encourage staff who use public transportation or ride sharing to follow CDC guidance on how to protect yourself when using transportation. Additionally, encourage staff to commute during less busy times and clean their hands as soon as possible after their trip.
  • Designated COVID-19 Point of Contact
    • Designate a staff member for each shift to be responsible for responding to COVID-19 concerns. All staff should know who this person is and how to contact them.
  • Communication Systems
    • Consistent with applicable local, state, territorial, federal, or tribal privacy and confidentiality laws and regulations, put systems in place for:
      • Having staff and customers report to the establishment’s point of contact if they have symptoms of COVID-19, have tested positive for COVID-19, or were exposed to someone with COVID-19 within the last 14 days.
      • Notifying local, state, territorial, federal, or tribal health authorities of COVID-19 cases.
      • Notifying staff, customers, and the public of business closures, and restrictions in place to limit COVID-19 exposure (e.g., limited hours of operation).
  • Telework and Virtual Meetings
    • Encourage telework for as many staff as possible (e.g., accountants, engineers), especially staff at higher risk for severe illness from COVID-19.
    • Replace in-person meetings with video- or tele-conference calls when possible.
  • Leave (Time Off) Policies
    • Implement flexible sick leave policies and practices that enable staff to stay home or self-isolate when they have symptoms of COVID-19, have tested positive for COVID-19, have recently have been exposed to someone with COVID-19 within the last 14 days, or have to care for someone who is sick.
      • Examine and revise policies for leave, telework, and staff compensation.
      • Leave policies should be flexible and not punish people for taking time off and should allow sick staff to stay home and away from co-workers. Leave policies should also account for staff who need to stay home with their children if there are school or childcare closures.
    • Develop policies for return-to-work after COVID-19 illness. CDC’s criteria to end home isolation can inform these policies.
  • Back-Up Staffing Plan
    • Monitor absenteeism of staff, cross-train staff, and create a roster of trained back-up staff.
  • Staff Training
    • Train all staff in COVID safety protocols.
    • Conduct training virtually, or ensure that social distancing is maintained during training.
  • Recognize Signs and Symptoms
    • If feasible, conduct daily health checks or ask staff and customers to conduct self-checks (e.g., temperature screening and/or or symptom checking). Consider using examples of screening methods in CDC’s General Business FAQs as a guide.
    • Health checks should be done for staff and customers safely and respectfully, and in accordance with any applicable federal or state privacy and confidentiality laws and regulations.
  • Support Coping and Resilience 
    • Encourage staff to eat a healthy diet, exercise, get adequate sleep, and find time to unwind.
    • Encourage staff to talk with people they trust about their concerns and how they are feeling.
    • Consider posting signs for the national distress hotline: call or text 1-800-985-5990

Preparing for When Someone Gets Sick

Casinos and gaming operations may consider implementing strategies to prepare for when someone gets sick.

  • Advise Sick Staff of Home Isolation Criteria
  • Isolate and Transport Those Who are Sick
    • Make sure that staff know they should not come to work and should notify their manager or other designated COVID-19 point of contact if they have symptoms of COVID-19, have tested positive for COVID-19, or have been exposed to someone with COVID-19 within the last 14 days.
    • Identify an isolation room or area to separate anyone who has COVID-19 symptoms.
    • Immediately separate staff or customers with COVID-19 symptoms. Individuals who are sick should go home or to a healthcare facility and follow CDC guidance for caring for oneself.
    • Establish procedures for safely transporting anyone who is sick to their home or to a healthcare facility. If you are calling an ambulance, alert them that the person may have COVID-19.
  • Clean and Disinfect
  • Notify Health Officials and Close Contacts