Public Health Act (2021 Revision)

CAYMAN ISLANDS Public Health Act (2021 Revision) CONTROL AND MANAGEMENT OF COVID-19 (NO. 3) REGULATIONS, 2022 (SL 17 of 2022) Supplement No. 1 published with Legislation Gazette No. 18 dated 28th April, 2022. PUBLISHING DETAILS Page 2 SL 17 of 2022 c Control and Management of Covid-19 (No. 3) Regulations, 2022 Arrangement of Regulations CAYMAN ISLANDS Public Health Act (2021 Revision) CONTROL AND MANAGEMENT OF COVID-19 (NO. 3) REGULATIONS, 2022 (SL 17 of 2022) Arrangement of Regulations Regulation Page 1. Citation and commencement .....................................................................................................5 2. Definitions ..................................................................................................................................5 3. Definition of public meeting ........................................................................................................8 4. Public meetings - exemptions ....................................................................................................9 5. Restaurants and bars ................................................................................................................9 6. Prohibition on holding of public meetings ................................................................................. 10 7. Wearing of masks .................................................................................................................... 10 8. Restriction on visitation to a place or a facility of quarantine or isolation ................................... 11 9. Prohibition in respect of items in a place or facility of quarantine or isolation ............................ 12 10. Restriction on visitation to a health care facility ........................................................................ 13 11. Restriction on visitation to a residential home care facility ........................................................ 14 12. Restriction on visitation of a detainee in a place of detention or prison ..................................... 15 13. Travel between the Islands ...................................................................................................... 16 14. Use of boat for fishing in the areas in Schedule 1 .................................................................... 18 15. Exercise and sporting activities ................................................................................................ 19 16. Public transport ........................................................................................................................ 20 17. Scuba diving and snorkelling in the Islands .............................................................................. 21 18. Prohibition on use of hookah, shisha pipes or water pipes ....................................................... 21 19. Police powers .......................................................................................................................... 22 20. Ticketable offences .................................................................................................................. 22 21. Service and payment of ticket .................................................................................................. 23 22. Trial after not paying ticket or not agreeing to ticket ................................................................. 23 c SL 17 of 2022 Page 3 Arrangement of Regulations Control and Management of Covid-19 (No. 3) Regulations, 2022 23. Repeal of the Control and Management of Covid-19 (No. 2) Regulations, 2022 ....................... 24 24. Expiry ...................................................................................................................................... 25 SCHEDULE 1 27 Areas where persons shall use a boat only for the purpose of fishing 27 SCHEDULE 2 28 TICKET UNDER THE CONTROL AND MANAGEMENT OF COVID-19 (NO. 3) REGULATIONS, 2022 28 SCHEDULE 3 30 TICKET OFFENCES AND FINES 30 Page 4 SL 17 of 2022 c Control and Management of Covid-19 (No. 3) Regulations, 2022 Regulation 1 CAYMAN ISLANDS Public Health Act (2021 Revision) CONTROL AND MANAGEMENT OF COVID-19 (NO. 3) REGULATIONS, 2022 (SL 17 of 2022) In exercise of the powers conferred by section 34 of the Public Health Act (2021 Revision), the Cabinet makes the following Regulations — 1. Citation and commencement 1. (1) These Regulations may be cited as the Control and Management of Covid-19 (No. 3) Regulations, 2022. (2) These Regulations come into force on 29th April, 2022. 2. Definitions 2. (1) In these Regulations — “a person designated by the Medical Officer of Health” includes the Director of the Sister Islands Health Services, where the Director of the Sister Islands Health Services is authorized by the Medical Officer of Health; “approved laboratory” means any one of the following — (a) United Kingdom Accreditation Service (UKAS) accredited laboratories; (b) laboratories of the National Health Service of the United Kingdom; (c) Joint Commission (JC) accredited laboratories; (d) Joint Commission International (JCI) accredited laboratories; c SL 17 of 2022 Page 5 Regulation 2 Control and Management of Covid-19 (No. 3) Regulations, 2022 (e) International Organization for Standardization (ISO) accredited laboratories; (f) Commission on Office Laboratory Accreditation (COLA) accredited laboratories; (g) national public health laboratories so declared or designated by the relevant laws of their respective jurisdictions; or (h) any other government approved providers; “approved test” means a test which satisfies the conditions set out under regulation 4(1)(a) or (b) of the Control of Covid-19 (Testing) Regulations, 2021; “approved vaccine course” means — (a) a vaccination programme provided by the Cayman Islands Health Services Authority for use against the virus; (b) a vaccination programme provided by a registered practitioner, a health care facility or a medical tourism facility and which is approved by the Chief Medical Officer for use against the virus; or (c) any other vaccination programme which is approved by the Chief Medical Officer for use against the virus and which is listed in a notice published by the Chief Medical Officer in the Gazette, in any other official Government website or in any other official means of communication; “captain” has the meaning assigned by section 2 of the Customs and Border Control Act (2022 Revision); “Cayman Islands Health Services Authority” means the Cayman Islands Health Services Authority established under section 3 of the Health Services Authority Act (2018 Revision); “Clerk of the Court” means the person appointed as such under section 7 of the Grand Court Act (2015 Revision); “Commissioner” means the Commissioner of Police appointed under the Police Act (2021 Revision); “crew” has the meaning assigned by section 2 of the Customs and Border Control Act (2022 Revision); “cruise ship” means a sea-going vessel engaged in the business of tourism and includes a seasonal cruise ship and a year-round cruise ship; “educational institution” has the meaning assigned by section 2(1) of the Education Act, 2016 (Act 48 of 2016); “emergency shelter” means any premises listed as such by the Director of the Department of Hazard Management Cayman Islands in accordance with section 9 of the Disaster Preparedness and Hazard Management Act (2019 Revision); Page 6 SL 17 of 2022 c Control and Management of Covid-19 (No. 3) Regulations, 2022 Regulation 2 “health care facility” means premises at which health services are provided by a registered practitioner and in respect of which a certificate is issued under section 5 of the Health Practice Act (2021 Revision); “health services” include clinical examination, nursing care, dental care, the provision of blood and blood products, diagnostic procedures, the provision of medical and surgical services, the provision of pharmaceuticals, advice or counselling and any other service as is provided by a registered practitioner under the Health Practice Act (2021 Revision); “indoor area”, in relation to a public place, means an area of the public place which is enclosed or substantially enclosed; “medical tourism facility” means a health care facility designated by the Cabinet under section 7A(2) of the Health Practice Act (2021 Revision); “owner or operator” includes a manager; “Port Authority” means the Port Authority established by the Port Authority Act (1999 Revision); “public place” means any highway, street, public park or garden, any sea beach and any public bridge, road, lane, footway, square, court, alley or passage, whether a thoroughfare or not and any open space and any indoor or outdoor premises to which, for the time being, the public have or are permitted to have access, whether on payment or otherwise; “registered practitioner” means any person qualified to practise any of the professions specified in the Health Practice Act (2021 Revision) and registered under the Health Practice Act (2021 Revision); “territorial sea” has the meaning given in the Cayman Islands (Territorial Seas) Order 1989 [UKSI 1989/2397]; “to have contact” means to be in proximity of less than six feet to a person who is in isolation or quarantine for more than five minutes; “vaccination certificate” means a document which provides evidence that a person in respect of whom the document is issued was administered an approved vaccine course; “virus” means the virus known as SARS-CoV-2 which causes the disease known as Covid-19; “visit” means — (a) in relation to a place, to enter into that place; and (b) in relation to a person, to have contact with that person; and “waters” means the waters of the territorial sea of the Islands. (2) In the definition of the words “indoor area” — “enclosed”, in relation to an area, means — (a) the area has a ceiling or roof; and c SL 17 of 2022 Page 7 Regulation 3 Control and Management of Covid-19 (No. 3) Regulations, 2022 (b) except for doors, windows and passageways, the area is wholly enclosed either permanently or temporarily; and “substantially enclosed”, in relation to an area, means the area has a ceiling or roof, but there is — (a) an opening in the walls; or (b) an aggregate area of openings in the walls, which is less than half of the area of the walls, including other structures that serve the purpose of walls and constitute the perimeter of the premises. (3) In the definition of the words “substantially enclosed”, an aggregate area of openings does not include openings in which there are doors, windows or other fittings that can be opened or shut. (4) In this regulation, “roof” includes any fixed or moveable structure or device which is capable of covering all or part of the premises as a roof, including, for example, a canvas awning. 3. Definition of public meeting 3. (1) For the purposes of these Regulations, “public meeting” means, subject to paragraph (2) and regulation 4, a gathering of more than seven hundred and fifty persons in an indoor area of a public place for the purposes of engaging in an activity together. (2) Notwithstanding paragraph (1) and subject to regulation 4, where — (a) for the purposes of engaging in the same activity, persons intend to gather at a public place that has an indoor area and an outdoor area, at no time shall more than seven hundred and fifty persons be permitted in the indoor area of that public place; and (b) a public place that has an indoor and outdoor area simultaneously holds different activities in each area, no more than the number of persons specified in paragraph (1) shall be permitted to gather in each indoor area for the purposes of engaging in the activity being held in that respective indoor area. (3) In the definition of the words “public meeting”, the word “person” does not include — (a) a person employed to provide services for the activity being engaged in; (b) a person attending an educational institution; (c) where the activity is a wedding, in addition to a person referred to under subparagraph (a), the bride, bridegroom, official witnesses and the marriage officer; Page 8 SL 17 of 2022 c Control and Management of Covid-19 (No. 3) Regulations, 2022 Regulation 4 (d) where the activity is the formalisation of a civil partnership, in addition to a person referred to under subparagraph (a), the parties to the intended civil partnership, official witnesses and the civil partnership officer; and (e) where the activity is a funeral, in addition to a person referred to under subparagraph (a), up to six pallbearers, an officiant and essential mortuary staff. (4) For the purposes of paragraph (1), a gathering on a cruise ship is not a public meeting. 4. Public meetings - exemptions 4. (1) Subject to this regulation, the definition of “public meeting” does not extend to a gathering in the indoor area of the places specified in paragraph (2), where the indoor area of the public place can accommodate more than seven hundred and fifty persons or such other capacity as specified by the Medical Officer of Health under paragraph (3). (2) The places referred to in paragraph (1) are — (a) a business or office, where the business or office is being used as such; (b) an educational institution, where the educational institution is being used for the purposes of providing education; (c) an emergency shelter, where the premises are being used as such in the event of a threat of a disaster or in the aftermath of a disaster; and (d) a church, where the church is being used for the purposes of a religious service other than a funeral service or a wedding service. (3) The Medical Officer of Health may prescribe the maximum capacity for gatherings under paragraph (1) by Notice published in the Gazette, in any other official Government website or in any other official means of communication. (4) An owner or operator of a place specified in paragraph (2) who fails to comply with the capacity requirements under paragraph (1) commits an offence and is liable on summary conviction to a fine of ten thousand dollars or to imprisonment for a term of two years, or to both. 5. Restaurants and bars 5. (1) An owner or operator of a restaurant or bar who offers indoor and outdoor services shall ensure that servers and front of house staff wear masks or cloth face coverings while serving customers. (2) An owner or operator of a restaurant or bar who contravenes paragraph (1) commits an offence and is liable on summary conviction to a fine of ten thousand dollars or to imprisonment for a term of two years, or to both. c SL 17 of 2022 Page 9 Regulation 6 Control and Management of Covid-19 (No. 3) Regulations, 2022 6. Prohibition on holding of public meetings 6. (1) For the purposes of the control and management of the spread of the virus, no person shall hold a public meeting unless permitted by regulations made under the Act. (2) A person who contravenes paragraph (1) commits an offence and is liable on summary conviction to a fine of ten thousand dollars or to imprisonment for a term of two years, or to both. 7. Wearing of masks 7. (1) Subject to paragraph (4), any person who is five years of age or older who is indoors a public place, including an educational institution, and is unable to, or does not maintain a distance of six feet from every other person, shall cover that person’s mouth and nose with a mask or cloth face covering, except — (a) where the person is unable to wear a mask or cloth face covering due to a medical condition or the person is otherwise exempted by guidance provided by the Medical Officer of Health; (b) where the person is sitting without talking or the person is eating — (i) at the person’s desk at the person’s place of employment; or (ii) at the person’s desk, or at a table, at the person’s educational institution, or (c) where the person is a customer who is indoors a restaurant or bar and is sitting at a table or counter inside of the restaurant or bar. (2) A person who refuses to wear a mask or cloth face covering because of a medical condition shall not be required to produce documentation verifying the condition. (3) Paragraph (1) applies to all persons including employees and customers of businesses and other organizations open to the public. (4) Notwithstanding paragraph (1), the owner or operator of — (a) a health care facility; (b) a residential home care facility; (c) a prison or place of detention; (d) an airport; (e) a place of business; or (f) such other public place as may be specified by notice by the Medical Officer of Health, may require any person who visits any of such places to cover that person’s mouth and nose with a mask or cloth face covering at all times, irrespective of whether the person is able to maintain a distance of six feet from every other Page 10 SL 17 of 2022 c Control and Management of Covid-19 (No. 3) Regulations, 2022 Regulation 8 person or falls within the exemptions specified in paragraph (1), and a person who refuses to do so shall be refused entry. 8. Restriction on visitation to a place or a facility of quarantine or isolation 8. (1) With the exception of — (a) the Medical Officer of Health or a person designated by the Medical Officer of Health for the purposes of surveillance or management of a person in quarantine or isolation; or (b) any person who has the written permission of the Medical Officer of Health or a person designated by the Medical Officer of Health, no person shall, subject to paragraph (2), visit or permit another person to visit a place or a facility of quarantine or isolation, or a person in a place or a facility of quarantine or isolation. (2) With the exception of the persons referred to in paragraph (1)(a) or (b), a person at a private residence shall not permit another person to visit the private residence where the private residence has been specified by the Medical Officer of Health as a place or facility of quarantine or isolation. (3) Where a private residence which is specified under paragraph (2) is part of a multi-dwelling premises, paragraphs (1) and (2) do not apply to any other units and common areas of the multi-dwelling premises. (4) Notwithstanding paragraph (1)(b), where a person provides food, grocery or medication delivery services to a place or facility of quarantine or isolation or a private residence which is specified as such under paragraph (2) — (a) the person who provides any of those services shall not require the written permission of the Medical Officer of Health or a person designated by the Medical Officer of Health; (b) the person who provides any of those services shall — (i) not enter the place or facility of quarantine or isolation or the private residence specified as such, as applicable; (ii) not have contact with the person or any other person in quarantine or isolation at the place or facility of quarantine or isolation or the private residence specified as such, as applicable; and (iii) leave the place or facility of quarantine or isolation or the private residence specified as such, as applicable, immediately after providing the service; and (c) in the case of a person who has been directed by the Medical Officer of Health to isolate at a private residence specified as a place or facility of quarantine or isolation, the person at the private residence shall ensure that the person who is providing any of those services does not enter the private c SL 17 of 2022 Page 11 Regulation 9 Control and Management of Covid-19 (No. 3) Regulations, 2022 residence or have contact with that person or any other person at the private residence. (5) A person under paragraph (1)(b) shall comply with the directions of the Medical Officer of Health in relation to any social distancing requirements and the use of personal protective equipment in the place or facility of quarantine or isolation. (6) This regulation does not apply to persons who are required to visit a place or a facility of quarantine or isolation or a person in that place or facility, in order to prevent or mitigate risk of injury to persons or property or risk of death. (7) A person who contravenes paragraph (1), (2), (4)(b), (4)(c) or (5) commits an offence and is liable on summary conviction to a fine of ten thousand dollars or to imprisonment for a term of two years, or to both. (8) Where a delivery service is being provided to a private residence specified as a place or facility of quarantine or isolation under paragraph (2), it is a defence for a person charged with an offence under paragraph (4)(b) to prove that the person did not know, or could not reasonably have known, that the person to whom the delivery was being made was, at the time of the delivery, a person directed by the Medical Officer of Health to isolate at a private residence. (9) Where a person visits a private residence specified as a place or facility of quarantine or isolation under paragraph (2), it is a defence for a person charged with an offence under paragraph (1) to prove that the person did not know, or could not reasonably have known, that the person to whom the visit was being made was, at the time of the visit, a person directed by the Medical Officer of Health to isolate at a private residence. 9. Prohibition in respect of items in a place or facility of quarantine or isolation 9. (1) Where a person is directed by the Medical Officer of Health to isolate at a private residence or such other place or facility of quarantine or isolation as specified by the Medical Officer of Health — (a) the person shall not remove or pass, or permit the removal or passing of, any item from the place or facility of quarantine or isolation; and (b) no person, other than the person directed to isolate in that place or facility of quarantine or isolation, shall handle any item — (i) which comes from the place or facility of quarantine or isolation; or (ii) which has been handled by the person directed to remain at the place or facility of quarantine or isolation, until the person who has been directed to isolate is determined by the Medical Officer of Health not to be a public health risk and that place or facility of quarantine or isolation has been cleared by the Medical Officer of Health. Page 12 SL 17 of 2022 c Control and Management of Covid-19 (No. 3) Regulations, 2022 Regulation 10 (2) If, in the opinion of the Medical Officer of Health, a person has handled an item referred to under paragraph (1)(b) — (a) the Medical Officer of Health shall, for the purpose of surveillance or management of a person by the Medical Officer of Health, direct the person to remain at a place or facility of quarantine or isolation specified by the Medical Officer of Health; and (b) the person shall be subject to such directions as are provided by the Medical Officer of Health. (3) Paragraph (1) does not apply to an item which has been — (a) removed or passed from the place or facility of quarantine or isolation; or (b) handled, for public health reasons, by the Medical Officer of Health or a person designated by the Medical Officer of Health, for the purposes of surveillance or management of a person in quarantine or isolation. (4) A person who contravenes paragraph (1) or (2) commits an offence and is liable on summary conviction to a fine of ten thousand dollars or to imprisonment for a term of two years, or to both. (5) It is a defence for a person charged with an offence under paragraph (1)(b) to prove that the person did not know, or could not reasonably have known, that the item — (a) was from a place or facility of quarantine or isolation; or (b) had been handled by the person directed to remain at the place or facility of quarantine or isolation. 10. Restriction on visitation to a health care facility 10. (1) Subject to paragraphs (2) and (3), a person who wishes to visit a health care facility shall ensure compliance with the directions of the owner or operator of the health care facility in relation to any social distancing requirements and the use of personal protective equipment in the health care facility. (2) Where a person wishes to visit a patient who has tested positive for the virus and who is in a health care facility, the person who wishes to visit the patient shall — (a) only visit or be permitted to visit that patient with the written permission of the Medical Officer of Health; and (b) ensure compliance with the directions of the owner or operator of the health care facility in relation to any social distancing requirements and the use of personal protective equipment in the health care facility. c SL 17 of 2022 Page 13 Regulation 11 Control and Management of Covid-19 (No. 3) Regulations, 2022 (3) Where a person wishes to visit a patient in a health care facility, other than a patient referred to in paragraph (2), the person who wishes to visit the patient shall — (a) only visit or be permitted to visit that patient where, on the day of the visit — (i) an approved test administered by a registered health care facility is obtained in relation to that person and a medical certificate which shows that the person had a negative result of the approved test is provided to the owner or operator of the health care facility or a person designated by the owner or operator; or (ii) an approved test is administered in relation to the person, whether by the person himself or herself or by another person, in the presence of a member of staff of the health care facility who is designated by the owner or operator of the health care facility to observe such testing; and (b) ensure compliance with the directions of the owner or operator of the health care facility in relation to any social distancing requirements and the use of personal protective equipment in the health care facility. (4) The medical certificate in relation to a person referred to in paragraph (3)(a)(i) shall specify the name and address of the registered health care facility where the test was provided. (5) This regulation does not apply to persons who are required to visit a health care facility or a person in that facility, in order to prevent or mitigate risk of injury to persons or property or risk of death. (6) A person who contravenes paragraph (1), (2) or (3) commits an offence and is liable on summary conviction to a fine of ten thousand dollars or to imprisonment for a term of two years, or to both. 11. Restriction on visitation to a residential home care facility 11. (1) A person who wishes to visit a residential home care facility shall — (a) only visit or be permitted to visit the facility where, on the day of the visit — (i) an approved test administered by a registered health care facility is obtained in relation to that person and a medical certificate which shows that the person had a negative result of the approved test, is provided to the owner or operator of the residential home care facility or a person designated by the owner or operator; or (ii) an approved test is administered in relation to the person, whether by the person himself or herself or by another person, in the presence of a member of staff of the residential home care facility who is Page 14 SL 17 of 2022 c Control and Management of Covid-19 (No. 3) Regulations, 2022 Regulation 12 designated by the owner or operator of the residential home care facility to observe such testing; and (b) comply with the directions of the owner or operator of the residential home care facility in relation to any social distancing requirements and the use of personal protective equipment in the residential home care facility. (2) The medical certificate in relation to a person referred to in paragraph (1)(a)(i) shall specify the name and address of the registered health care facility where the test was provided. (3) This regulation does not apply to persons who are required to visit a residential home care facility or a person in that facility, in order to prevent or mitigate risk of injury to persons or property or risk of death. (4) A person who contravenes paragraph (1) commits an offence and is liable on summary conviction to a fine of ten thousand dollars or to imprisonment for a term of two years, or to both. 12. Restriction on visitation of a detainee in a place of detention or prison 12. (1) A person who wishes to visit a detainee in a place of detention or a prison must be a relative of the detainee and shall — (a) only visit or be permitted to visit the detainee in the place of detention or the prison where, on the day of the visit — (i) an approved test administered by a registered health care facility is obtained in relation to that person and a medical certificate which shows that the person had a negative result of the approved test is provided to — (A) in the case of a place of detention, the Medical Officer of Health or a person designated by the Medical Officer of Health; and (B) in the case of a prison, the Director of Prisons or a person designated by the Director of Prisons; or (ii) an approved test is administered in relation to the person, whether by the person himself or herself or by another person, in the presence of — (A) in the case of a place of detention, a member of staff of the place of detention who is designated by the Medical Officer of Health to observe such testing; and (B) in the case of a prison, a member of staff of the prison who is designated by the Director of Prisons to observe such testing; (b) in the case of a place of detention, ensure compliance with the directions of the Medical Officer of Health in relation to any social distancing requirements and the use of personal protective equipment in the place of detention; and c SL 17 of 2022 Page 15 Regulation 13 Control and Management of Covid-19 (No. 3) Regulations, 2022 (c) in the case of a prison, ensure compliance with the directions of the Director of Prisons in relation to any social distancing requirements and the use of personal protective equipment in the prison. (2) The medical certificate in relation to a person referred to in paragraph (1)(a)(i) shall specify the name and address of the registered health care facility where the test was provided. (3) This regulation does not apply to persons who are required to visit a prison or place of detention or a person in either of those places, in order to prevent or mitigate risk of injury to persons or property or risk of death. (4) A person who contravenes paragraph (1) commits an offence and is liable on summary conviction to a fine of ten thousand dollars or to imprisonment for a term of two years, or to both. (5) For the purpose of this regulation, “relative”, in relation to a detainee in a prison or place of detention, means the detainee’s — (a) spouse or civil partner; (b) child; (c) parent or legal guardian; (d) brother or sister; (e) grandparent; (f) grandchild; or (g) friend. 13. Travel between the Islands 13. (1) Subject to this regulation, a person may travel between Grand Cayman, Cayman Brac and Little Cayman (“between the Islands”) by air transport or boat. (2) Subject to paragraph (3), where a person who is five years of age or older and has not completed an approved vaccine course wishes to travel between the Islands, the following shall apply — (a) no earlier than the day prior to the departure of the person’s flight or boat — (i) a polymerase chain reaction (PCR) test of a sample from the upper airways; or (ii) an approved test administered by a registered health care facility, shall be obtained in relation to the person; and (b) prior to the departure of the person’s flight or boat, a medical certificate which — (i) shows that the person had a negative polymerase chain reaction (PCR) test of a sample from the upper airways, or a negative result Page 16 SL 17 of 2022 c Control and Management of Covid-19 (No. 3) Regulations, 2022 Regulation 13 of an approved test administered by a registered health care facility, no earlier than the day prior to the departure of the person’s flight or boat; and (ii) specifies the name and address of the approved laboratory or registered health care facility where the test was provided, shall be provided to, in the case of a voyage by air, the relevant airline or an agent of the airline, or in the case of a voyage by boat, a customs and border control officer at the Port Authority. (3) Where a person referred to in paragraph (1) is under the age of eighteen years and has not completed an approved vaccine course at least fourteen days prior to the person’s date of travel, the following shall apply — (a) the person shall not be required to comply with the requirements under paragraph (2) where the person is accompanied by an accompanying person who has completed an approved vaccine course at least fourteen days prior to the accompanying person’s date of travel; and (b) the person, upon arrival in the Islands, shall be subject to such written directions as are provided by the Medical Officer of Health. (4) Where a person who is five years of age or older wishes to travel between the Islands, the person may travel without being tested for the virus where the following conditions are satisfied — (a) the person has completed an approved vaccine course at least fourteen days prior to the person’s date of travel; (b) in the case of a voyage by air, prior to departure of the flight, a vaccination certificate in relation to the person is provided to the relevant airline or an agent of the airline; (c) in the case of a voyage by boat, prior to departure of the boat, a vaccination certificate in relation to the person is provided to a customs and border control officer at the Port Authority; and (d) the person is not showing any respiratory symptoms or symptoms of the virus. (5) Where a person referred to under paragraph (2), (3) or (4) arrives in Grand Cayman, Cayman Brac or Little Cayman and the person shows respiratory symptoms or symptoms of the virus, the person shall be managed at a place and in such manner as specified by the Medical Officer of Health until the Medical Officer of Health determines that the person is no longer a health risk to the public. (6) Subject to paragraph (7), a person who is required to stay in a place or facility of quarantine or isolation which is operated by Government is liable to pay for any costs associated with the person’s accommodation in such a place or facility. c SL 17 of 2022 Page 17 Regulation 14 Control and Management of Covid-19 (No. 3) Regulations, 2022 (7) The following persons who provide evidence that they reside in the Islands and who are required to stay in a place or facility of quarantine or isolation which is operated by Government are not required to pay the costs of accommodation at that place or facility — (a) a person who provides evidence that the person is a returning student; (b) a person who provides evidence that the person’s travel was for the purpose of government business; (c) a person who provides evidence that the purpose of the person’s travel was to represent the Islands in a sporting event as part of a national team; (d) a person who provides a medical certificate signed by a registered practitioner that the person travelled between the Islands in order to obtain medical services; (e) a person who is a parent, guardian or caregiver who provides evidence that the person travelled between the Islands for the purposes of taking the person’s child, or a child in the person’s care to — (i) an educational institution; or (ii) represent the Islands in a sporting event as part of a national team; and (f) a person who provides evidence that the person had responsibility to take a child or an adult to obtain medical services and travelled between the Islands for that purpose. (8) For the purposes of paragraph (3), “accompanying person” means an adult who travels with a person who is under eighteen years old for the purpose of supervising that person while travelling. (9) For the purposes of paragraph (7) — “child” means — (a) a person under the age of eighteen years; or (b) a person between the age of eighteen and twenty-four years who is receiving instruction at an educational establishment or undergoing training for a trade, profession or vocation, whether or not while in gainful employment; and “parent” includes a step-parent and a foster parent. (10) A person who contravenes paragraph (2) or (4) commits an offence and is liable on summary conviction to a fine of ten thousand dollars or to imprisonment for a term of two years, or to both. 14. Use of boat for fishing in the areas in Schedule 1 14. (1) Subject to this regulation, a person may use a boat only for the purpose of fishing in the areas specified in Schedule 1 subject to the following conditions — Page 18 SL 17 of 2022 c Control and Management of Covid-19 (No. 3) Regulations, 2022 Regulation 15 (a) the operator of the boat shall possess clearance to leave the waters issued by the Customs and Border Control Service; (b) the operator of the boat shall ensure that the boat has on board at any time no more than twenty-five persons or its legal capacity, whichever is lesser; and (c) the operator of the boat shall ensure that the operator and the persons on board the boat return to the Islands no later than forty-eight hours after the commencement of the outward journey. (2) Notwithstanding paragraph (1), a person who used, or was on board, a boat referred to in this regulation — (a) shall comply with the directions of the Medical Officer of Health with regard to isolation and any additional health monitoring for the purposes of preventing, controlling or suppressing the spread of the virus; and (b) who shows respiratory symptoms or symptoms of the virus shall be managed at a place and in such manner as specified by the Medical Officer of Health, until the Medical Officer of Health determines that the person is not a health risk to the public. (3) Where a person is directed by the Medical Officer of Health in accordance with paragraph (2) to isolate in a place or facility of quarantine or isolation which is operated by Government, the person is liable to pay for any costs associated with the person’s accommodation in such a place or facility. (4) A person shall not operate or manoeuvre a boat in the areas specified in Schedule 1 so as to congregate or gather with any other person on any other boat or vessel where the number of persons gathering exceeds twenty-five persons. (5) Notwithstanding paragraph (4), an operator of a boat shall declare to the Medical Officer of Health if there was any person on board that operator’s boat, other than a person in respect of whom that operator received the clearance referred to in paragraph (1). (6) A person who contravenes paragraph (1), (2), (4) or (5) commits an offence and is liable on summary conviction to a fine of ten thousand dollars or to imprisonment for a term of two years, or to both. (7) This regulation does not apply to cruise ships. 15. Exercise and sporting activities 15. (1) A person may exercise at any time but shall be subject to the public meeting and social distancing requirements in these Regulations. (2) Sporting activities are permitted provided that where the sporting activity takes place — c SL 17 of 2022 Page 19 Regulation 16 Control and Management of Covid-19 (No. 3) Regulations, 2022 (a) indoors at a gym; (b) indoors at a fitness centre; or (c) other indoor fitness area, the owner or operator of the gym, fitness centre or other indoor fitness area complies with any guidelines issued by the Medical Officer of Health in relation to the operation of gyms, fitness centres or other indoor fitness areas. (3) For the purposes of paragraph (2), “indoor fitness area” means an area indoors any place — (a) in which a sporting activity takes place; and (b) where members of the public have or are permitted access, whether on payment or otherwise. (4) An owner or operator of a gym, fitness centre or other indoor fitness area who contravenes paragraph (2) commits an offence and is liable on summary conviction to a fine of ten thousand dollars or to imprisonment for a term of two years, or to both. 16. Public transport 16. (1) A person using a taxi or an omnibus, including the driver of the taxi or omnibus, shall wear a mask or cloth face covering when in the taxi or omnibus. (2) An operator of a taxi or an omnibus shall only operate the taxi or omnibus on the condition that every person, including the driver of the taxi or omnibus, wears a mask or cloth face covering when in the taxi or omnibus. (3) Subject to paragraph (4), a person using an aircraft in the Islands, including the captain and crew of the aircraft, shall wear a mask or cloth face covering when in the aircraft. (4) A captain or a member of the crew of an aircraft is not required to wear a mask or cloth face covering when the captain or member of the crew is not engaging with passengers. (5) A person who contravenes paragraph (1) or (2) commits an offence and is liable on summary conviction to a fine of ten thousand dollars or to imprisonment for a term of two years, or to both. (6) For the purpose of this regulation — “captain” includes a co-pilot; “omnibus” includes a school vehicle; and “school vehicle” means a vehicle used for the conveyance of school children for hire or reward. Page 20 SL 17 of 2022 c Control and Management of Covid-19 (No. 3) Regulations, 2022 Regulation 17 17. Scuba diving and snorkelling in the Islands 17. (1) A person who wishes to rent scuba or snorkelling equipment to a customer for a scuba diving or snorkelling activity, including for training in scuba diving or snorkelling, shall comply with the following requirements — (a) the person shall, prior to renting any shared scuba or snorkelling equipment, register with the Department of Environmental Health, for the purposes of monitoring and ensuring compliance with this regulation; (b) the person shall ensure that all shared scuba and snorkelling equipment is cleaned each day using an agent approved for use against the virus by the Director; (c) where the person rents any shared scuba equipment to a customer, the person shall not rent the same shared scuba equipment to another customer until three days has elapsed; and (d) the person shall comply with the written guidelines issued by the Director under paragraph (3). (2) Paragraph (1) does not apply to a buoyancy control device, a dive tank, dive boots, fins, a weight belt, a dive computer or a wet suit. (3) For the purposes of the control and management of the spread of the virus, the Director shall issue written guidelines on the use of shared scuba or snorkelling equipment, including a list of agents approved for use against the virus. (4) The guidelines under paragraph (3) shall be published in the Gazette, in any other official Government website or in any other official means of communication. (5) A person who contravenes paragraph (1) commits an offence and is liable on summary conviction to a fine of ten thousand dollars or to imprisonment for a term of two years, or to both. (6) In this Regulation, “Director” means the Director of Environmental Health of the Department of Environmental Health. 18. Prohibition on use of hookah, shisha pipes or water pipes 18. (1) An owner or operator of a business shall not use or permit the use of a hookah, shisha pipe or water pipe at the place of business. (2) A person who contravenes paragraph (1) commits an offence and is liable on summary conviction to a fine of ten thousand dollars or to imprisonment for a term of two years, or to both. c SL 17 of 2022 Page 21 Regulation 19 Control and Management of Covid-19 (No. 3) Regulations, 2022 19. Police powers 19. (1) A police officer may require a person to answer any questions to enable the police officer to ascertain who the person is and whether the person is complying with these Regulations, and where the person does not satisfy the police officer that the person is complying with these Regulations, the police officer may — (a) detain the person and inform the Medical Officer of Health or a person designated by the Medical Officer of Health of the fact that a person has been so detained; and (b) convey the person to a facility of quarantine or isolation, if so directed by the Medical Officer of Health. (2) The powers in paragraph (1) may be exercised where a person is at any place. (3) For the purposes of exercising the powers in paragraph (1), a police officer may enter any place or facility of quarantine or isolation, including a private residence specified as such under these Regulations, or a multi-dwelling premises in which such a private residence is located. (4) A police officer may use reasonable force, if necessary, in the exercise of the police officer’s powers under this regulation. 20. Ticketable offences 20. (1) When an offence appears to have been committed contrary to these Regulations, notwithstanding that certain penalties for such offences are by those Regulations expressed to be mandatory, a constable, special constable or person authorized by the Commissioner may instead serve on the alleged offender a ticket in the form set out in Schedule 2. (2) Where an offence referred to in Columns 1 and 2 of Schedule 3 is committed, the penalty in Column 3 of Schedule 3 applies. (3) Where the summary of an offence contained in Column 1 of Schedule 3 differs from the substantive creation of the offence in the provision concerned, the provision creating the offence shall prevail and no person may be acquitted on the basis that there is a conflict between the summary of the offence contained in Column 1 of Schedule 2 and the substantive provision. (4) Where a person is served with a ticket under paragraph (1), the payment of the penalty stated in the ticket no later than twenty-eight days after being served discharges the person from liability upon conviction for the offence set out in the ticket. (5) Payment of a ticket under these Regulations shall be made to the Clerk of the Court and the fine under the ticket, unless otherwise expressly stated, forms part of the general revenue of the Islands. Page 22 SL 17 of 2022 c Control and Management of Covid-19 (No. 3) Regulations, 2022 Regulation 21 21. Service and payment of ticket 21. (1) A constable, special constable or person authorized by the Commissioner who serves a ticket shall complete and sign the certificate of service in the ticket stating that the ticket was, on the date set out in the certificate, served on the person whom the constable, special constable or person authorized by the Commissioner had reason to believe committed the offence. (2) A certificate of service in the ticket shall be evidence that, on the date set out in the certificate, a ticket was served on the person whom the constable, special constable or person authorized by the Commissioner had reason to believe committed the offence. (3) The Commissioner shall file or cause to be filed with the Clerk of the Court the duplicate of a ticket served under paragraph (1) as soon as practicable after the ticket is served. (4) Upon being served a ticket, a person may — (a) pay the total amount set out in the ticket; (b) enter a “not guilty” plea in accordance with regulation 22(1); or (c) attend the summary court on the date set out in the ticket and enter a plea. 22. Trial after not paying ticket or not agreeing to ticket 22. (1) A person who is served with a ticket and who wishes to enter a “not guilty” plea may request a trial by ticking the box for requesting a trial in the ticket and delivering the ticket to the Clerk of the Court within twenty-eight days of being served with the ticket and the Clerk of the Court shall enter a plea of “not guilty”. (2) As soon as practicable after a person requests a trial under paragraph (1), the Clerk of the Court shall — (a) notify the Commissioner of the request;

(b) if the Commissioner has not filed the duplicate of the ticket or caused the duplicate of the ticket to be filed in accordance with regulation 21(3), request the duplicate ticket; (c) fix the time and place of the trial; and (d) notify the defendant and the prosecution, by specifying the time and place of the trial in the ticket. (3) A person who has been served with a ticket and has not paid the total amount set out in the ticket in accordance with regulation 20, nor entered a “not guilty” plea in accordance with paragraph (1), shall attend at the court on the date specified by the Clerk of the Court in the ticket, which shall be no earlier than thirty-eight days after the date that the ticket was served on the person and the notice of the court date in the ticket shall be notice to the defendant and the prosecution of the same. c SL 17 of 2022 Page 23 Regulation 23 Control and Management of Covid-19 (No. 3) Regulations, 2022 (4) A ticket filed with the Clerk of the Court is evidence of the facts alleged in the ticket without proof of the signature of the person appearing to have completed the ticket or the person on whom the ticket was served. (5) Except as otherwise provided, a notice or document required or authorized to be given or delivered under this regulation may be given or delivered personally by registered mail or electronically. (6) Evidence that a notice or document required or authorized to be given or delivered to a person under this regulation was sent by registered mail to the person at the last known place of abode or business address appearing on a ticket or electronically, is sufficient evidence that the notice or document was given or delivered to the person unless the contrary is proved. (7) A person who is convicted of an offence in a trial requested under paragraph (1) or in a trial as a result of a failure to pay the total amount set out in the ticket in accordance with regulation 20, is liable on summary conviction to a fine of ten thousand dollars or to imprisonment for a term of two years, or to both. (8) The ticket, for the purposes of a trial, is deemed to be a complaint within the meaning of section 14 of the Criminal Procedure Code (2021 Revision). (9) Notwithstanding anything in law to the contrary, where the ticket remains unpaid at the expiration of the time specified for the payment of the ticket or where the person served requests a trial, the ticket shall be deemed to be a summons in accordance with section 15 of the Criminal Procedure Code (2021 Revision). (10) Subject to paragraph (2), proceedings in respect of an offence deemed to be instituted by a ticket under these Regulations shall not be listed for hearing in court unless — (a) the Clerk of the Court certifies that the payment of the ticket has not been received within the twenty-eight day period within which it was payable; and (b) a period of ten days has elapsed from the last day on which the ticket penalty was payable. (11) Where the ticket is not paid within the time specified in the ticket or the person served requests a trial, proceedings in respect of the offence specified in the ticket shall be in accordance with the procedure set out for Category C offences under the Criminal Procedure Code (2021 Revision). 23. Repeal of the Control and Management of Covid-19 (No. 2) Regulations, 2022 23. The Control and Management of Covid-19 (No. 2) Regulations, 2022 are repealed. Page 24 SL 17 of 2022 c Control and Management of Covid-19 (No. 3) Regulations, 2022 Regulation 24 24. Expiry 24. These Regulations shall continue in force until 30th June, 2022 or until such other date as the Cabinet may specify by notice in the Gazette, in any other official Government website or in any other official means of communication. c SL 17 of 2022 Page 25 Control and Management of Covid-19 (No. 3) Regulations, 2022 SCHEDULE 1 SCHEDULE 1 (regulation 14(1) and (4)) Areas where persons shall use a boat only for the purpose of fishing Persons shall use a boat only for the purpose of fishing in the following areas — 1. the area known as 60 Mile Bank, that is to say the area within 3 miles of Latitude 20° 0' 55.412" N Longitude 82° 2' 11.149" W; 2. the area known as Pickle Bank, that is to say the area within 20 miles of Latitude 20° 23' 40.210" N Longitude 80° 26' 37.769" W; 3. the area known as Lawford’s Bank, that is to say the area within 10 miles of Latitude 19° 28' 10.8912" N Longitude 79° 7' 48.63" W; and 4. the area known as Fish Attracting Device (FAD), that is to say the area within 1 mile of Latitude 19° 44' 43.8" N Longitude 81° 19' 34.38" W. c SL 17 of 2022 Page 27 SCHEDULE 2 Control and Management of Covid-19 (No. 3) Regulations, 2022 SCHEDULE 2 (regulation 20(1) and (3)) TICKET UNDER THE CONTROL AND MANAGEMENT OF COVID-19 (NO. 3) REGULATIONS, 2022 Ticket served upon alleged offender (details below) Name: __________________________________________________________________ D.O.B.:_________________________________ P.O. Box ________________________ Address: ________________________________________________________________ E-mail Address: __________________________________________________________ Phone:________________________________(w)_________________________(h)____ Work Address: ___________________________________________________________ Time and place at which offence committed: ________________________________________________________________________ ________________________________________________________________________ Offence: Regulation: ___________________________ _______________ $___________ Offence: Regulation: ___________________________ _______________ $___________ Offence: Regulation: ___________________________ _______________ $___________ Offence: Regulation: ___________________________ _______________ $___________ (Use second ticket for additional offences) Page 28 SL 17 of 2022 c Control and Management of Covid-19 (No. 3) Regulations, 2022 SCHEDULE 2 Date of Issue:_________________________________Time:_________________am/pm Place: __________________________________________________________________ Reporting Officer’s Name (and Rank & No.):___________________________________ ________________________________________________________________________ To the person on whom this ticket is served — (a) you may pay the total amount set out in the ticket before 3p.m. the ________ day of ______________ 20___ at the Courts Office, Finance Centre located at Kirk House Albert Panton Street, George Town, Grand Cayman during opening hours (9a.m.-3p.m.) or online at https://pay.judicial.ky. For queries, e-mail criminalregistry@judicial.ky or call 244-3867; or (b) you may enter a plea of “not guilty” up to twenty-eight days after being served and indicate your intention to plead “not guilty” and request a trial by ticking the □ box and deliver the ticket — (i) personally to Criminal Registry at 61 Albert Panton Street, George Town; (ii) by registered mail to Covid-19 Ticket P.O. Box 495, Grand Cayman, KY1- 1106; or (iii) electronically by e-mail to criminalregistry@judicial.ky to the Clerk of the Court; or (c) upon requesting a trial, upon non-payment or where a plea of “not guilty” is not entered, you are summoned by to attend the Summary Court — (i) in Grand Cayman, at _______ on ____________________ 20____; or (ii) in Cayman Brac, at _______ on ____________________ 20___ . CERTIFICATE OF SERVICE I am a [constable] / [special constable] / [person authorized by the Commissioner] and I certify that I served this ticket on the person named on the date and at the time stated above. __________________________________ _____________________________ (Name of Constable/Special Constable/Person (Signature) authorized by the Commissioner) If you experience any issues with the above payment options or you require the assistance of the Clerk of the Court please contact: criminalregistry@judicial.ky or call 244-3867 or 949-4296 c SL 17 of 2022 Page 29 SCHEDULE 3 Control and Management of Covid-19 (No. 3) Regulations, 2022 SCHEDULE 3 (regulation 20(2) and (3)) TICKET OFFENCES AND FINES Column 1 Column 2 Column 3 Summary of offence Relevant Regulation Fine 1. An owner or operator of a 5(2) $500 restaurant or bar failing to ensure that servers and staff wear masks or cloth face coverings while serving customers. 2. Holding a public meeting 6(2) $1000 contrary to these Regulations. 3. A person who enters a 8(7) $500 place or facility of quarantine or isolation or a private residence contrary to regulation 8(1), (2), (4)(b), (4)(c) or (5). 4. Visiting or permitting 8(7) $500 another person to visit a place or a facility of quarantine or isolation, or a person in a place or a facility of quarantine or isolation. 5. Permitting another person 8(7) $500 to visit a private residence where the private residence has been specified by the Page 30 SL 17 of 2022 c Control and Management of Covid-19 (No. 3) Regulations, 2022 SCHEDULE 3 Medical Officer of Health as a place or facility of quarantine or isolation. 6. A person who has been 8(7) $500 directed by the Medical Officer of Health to isolate at a private residence specified as a place or facility of quarantine or isolation, failing to ensure that a person who is providing food, grocery or medication delivery services does not enter the private residence or have contact with that person or any other person at the private residence. 7. A person who provides 8(7) $500 food, grocery or medication delivery services to a place or facility of quarantine or isolation or a private residence specified as such having contact with any person in quarantine or isolation at the place or facility of quarantine or isolation or the private residence specified as such. 8. A person who provides 8(7) $500 food, grocery or medication delivery services to a place or facility of quarantine or isolation or a private residence specified as such failing to leave the place or facility of quarantine or isolation immediately after c SL 17 of 2022 Page 31 SCHEDULE 3 Control and Management of Covid-19 (No. 3) Regulations, 2022 providing food, grocery, or medication delivery services. 9. A person failing to 8(7) $500 comply with the directions of the Medical Officer of Health in relation to any social distancing requirements and the use of personal protective equipment in a place or facility of quarantine or isolation. 10. A person who is directed 9(4) $500 by the Medical Officer of Health to remain at a private residence or such other place or facility of quarantine or isolation removing or passing, or permitting the removal or passing of, any item from a place or facility of quarantine or isolation. 11. A person who has 9(4) $500 handled an item which — (a) comes from a place or facility of quarantine or isolation; or (b) has been handled by a person directed to remain at a place or facility of quarantine or isolation, failing to comply with the directions of the Medical Officer of Health. Page 32 SL 17 of 2022 c Control and Management of Covid-19 (No. 3) Regulations, 2022 SCHEDULE 3 12. Failure to comply with 10(6) $250 the directions of the owner or operator of the health care facility in relation to any social distancing requirements and the use of personal protective equipment in the health care facility. 13. Visiting a patient who 10(6) $500 has tested positive for the virus in a health care facility without the written permission of the Medical Officer of Health. 14. Visiting a patient other 10(6) $500 than a patient who has tested positive for the virus and who is in a health care facility without a negative result of an approved test. 15. Visiting a residential 11(4) $250 home care facility without a negative result of an approved test. 16. Failure to comply with 11(4) $250 the directions of the owner or operator of a residential home care facility in relation to any social distancing requirements and use of personal protective equipment in the residential care facility. 17. Visiting a detainee in a 12(4) $250 place of detention or a prison c SL 17 of 2022 Page 33 SCHEDULE 3 Control and Management of Covid-19 (No. 3) Regulations, 2022 without a negative result of an approved test. 18. A person failing to 12(4) $250 comply with the directions of — (a) the Director of Prisons in relation to any social distancing requirements and the use of personal protective equipment in a prison; or (b) the Medical Officer of Health in relation to any social distancing requirements and the use of personal protective equipment in a place of detention. 19. A person who is eighteen 13(10) $250 years or older and has not received an approved vaccine course travelling between the Islands without providing a medical certificate which shows a negative polymerase chain reaction (PCR) test of a sample from the upper airways or a negative result of an approved test administered by a registered health care facility, received from a test taken no earlier than the day prior to the Page 34 SL 17 of 2022 c Control and Management of Covid-19 (No. 3) Regulations, 2022 SCHEDULE 3 departure of the person’s flight or boat. 20. Failure to use a boat only 14(6) $500 for the purposes of fishing in the areas specified in Schedule 1. 21. Failure to comply with 14(6) $500 the following conditions when using a boat for the purpose of fishing in the areas specified in Schedule 1 — (a) possessing clearance to leave the waters issued by the Customs and Border Control Service; (b) ensuring that the boat has on board at any time no more than twenty-five persons or its legal capacity, whichever is lesser; (c) ensuring that the operator and the persons on board the boat return to the Islands no later than forty-eight hours after the commencement of the outward journey; or (d) operating or manoeuvring a boat in the areas specified in Schedule 1 so as to c SL 17 of 2022 Page 35 SCHEDULE 3 Control and Management of Covid-19 (No. 3) Regulations, 2022 congregate or gather with any other person on any other boat or vessel where the number of persons gathering exceeds twenty-five persons. 22. An owner or operator of 15(4) $500 a gym, fitness centre or other indoor fitness area failing to comply with the guidelines issued by the Medical Officer of Health in relation to the operation of gyms, fitness centres or other indoor fitness areas. 23. Failing to wear a mask or 16(5) $250 cloth face covering when inside a taxi or omnibus. 24. Operating a taxi or 16(5) $250 omnibus where the operator or any other person in the taxi or omnibus fails to wear a mask or cloth face covering when inside the vehicle. 25. Renting scuba or 17(5) $500 snorkelling equipment to a customer for a scuba diving or snorkelling activity, including for training in scuba diving or snorkelling contrary to regulation 17. Page 36 SL 17 of 2022 c Control and Management of Covid-19 (No. 3) Regulations, 2022 SCHEDULE 3 26. An owner or operator of 18(2) $500 a business using or permitting the use of hookah, shisha pipes or water pipes at the place of business. Made in Cabinet the 28th day of April, 2022. Davina Wilson Acting Clerk of the Cabinet c SL 17 of 2022 Page 37