coronavirus illinois

New Coronavirus Restrictions Take Effect in Suburban Cook County, Metro East

Regions 10 and 4 now join four other regions in the state with additional coronavirus mitigation restrictions, with Chicago set to see more mitigations on Friday

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New coronavirus restrictions took effect Wednesday in two of Illinois' 11 regions - suburban Cook County and the downstate Metro East area - after their rising metrics triggered enhanced mitigations under the state's guidelines.

Region 10, which is Cook County excluding the city of Chicago, will see the suspension of indoor dining and bar service, among other limitations, after the area became the first in Illinois to trigger the state's mitigation plan in multiple metrics simultaneously.

Region 4, known as the Metro East region, will also see the return of increased restrictions just days after such rules were lifted in the southern Illinois area.

Those mitigations include:


  • No indoor service 
  • All outside bar service closes at 11:00 p.m. 
  • All bar patrons should be seated at tables outside 
  • No ordering, seating, or congregating at bar (bar stools should be removed)  
  • Tables should be 6 feet apart  
  • No standing or congregating indoors or outdoors while waiting for a table or exiting 
  • No dancing or standing indoors 
  • Reservations required for each party 
  • No seating of multiple parties at one table 


  • No indoor dining or bar service 
  • All outdoor dining closes at 11:00 p.m. 
  • Outside dining tables should be 6 feet apart 
  • No standing or congregating indoors or outdoors while waiting for a table or exiting 
  • Reservations required for each party  
  • No seating of multiple parties at one table 

Meetings, Social Events, Gatherings 

  • Limit to lesser of 25 guests or 25 percent of overall room capacity 
  • No party buses 
  • Gaming and Casinos close at 11:00 p.m., are limited to 25 percent capacity, and follow mitigations for bars and restaurants, if applicable 

"Region 4 has had a 7-day rolling average test positivity rate of 8 percent or above for three consecutive days. Region 10 has had eight consecutive days of increases in test positivity and seven days of increased hospital admissions making it the first region in the state to meet the metrics for additional mitigations in this way and surpass warning levels in two categories simultaneously," Gov. J.B. Pritzker's office said in a statement announcing the mitigations on Monday.

The positivity rate in Region 10 has ticked upward from 7.3% on Oct. 20 and to 7.5% on Oct. 21 and 7.7% on Oct. 22, continuing a slow upward trend, data from the state's health department showed. Hospitalizations are also going up, and the region only had an average of 25% availability on hospital beds in the event of a surge, along with a 30% ICU availability, as of Oct. 22.

"“We are seeing test positivity across the state increase, but for Region 10, Suburban Cook County, we are also seeing a steady increase in hospitalizations for COVID-like illness,” Illinois Department of Public Health Director Dr. Ngozi Ezike said in a statement. “At the beginning of the pandemic, we were concerned about overwhelming our hospitals and we must take action now to prevent that possibility. We are entering flu season and our hospitals are facing both COVID-19 and flu admissions. The same things that can help prevent the spread of COVID-19 will help prevent the spread of flu. Please, wash your hands, watch your distance, and wear your mask. And make sure to get your flu shot.”

Regions 10 and 4 will now join four other healthcare regions in the state with additional coronavirus mitigation restrictions.

Kane, DuPage, Will and Kankakee counties in the Chicago area saw added restrictions put in place beginning Friday. Region 5 in southeastern Illinois began the new measures on Thursday, while Region 1 in northern Illinois also saw a second tier of added restrictions beginning Sunday.

The state's health department said it plans to track the positivity rate in both Region 4 and Region 10 over the coming days "to determine if mitigations can be relaxed, if additional mitigations are required, or if current mitigations should remain in place."

The positivity rate in Region 4 must average or equal 6.5% for three consecutive days to see its current mitigations lifted and return to Phase 4 of the state's reopening plan. Region 10 would need to see the same drop in positivity rate, but will also need to record a decrease in hospital admissions for COVID-19 like illness over a three-day period. The three-day rolling averages for ICU bed availability and medical/surgical bed availability will also need to be great than or equal to 20% over a seven-day period.

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