North Carolina's largest county issued a "stay-at-home" order for the Charlotte area, where cases of the new coronavirus have taken off compared to the rest of the state.

Starting at 8 a.m. Thursday, the 1.1 million residents of Mecklenburg County largely must stay in their homes except for going to grocery and drug stores, making medical appointments and exercising. People can still get restaurant to-go food and deliveries, in keeping with statewide restrictions already in place.

Those whose work is deemed essential in the order can continue to travel to and from their jobs. Violating the order can be a misdemeanor.

Mecklenburg County Health Director Gibbie Harris said the county had more than 140 positive cases as of Tuesday afternoon. State health officials tallied roughly 400 cases statewide earlier in the day.

More than 15 states have some kind of “stay-at-home” or “shelter-in-place” order. North Carolina isn't among them, and professional and trade groups are weighing in on whether one's necessary. But Mecklenburg County leaders believe there's no time to wait.

“It is evident that too many people are not taking this pandemic seriously enough — that's just the fact," board Commissioner Trevor Fuller said during a commission meeting to discuss the order. “You can go into almost any place in this county and see crowds of people.”

In the Raleigh area, Wake County Sheriff Gerald Baker said he was suspending the issuance of pistol permits until April 30, partly to prevent the spread of germs at the permitting area of his office and also because of a backlog of applications. His office said pistol permit requests have increased to nearly 300 per day, compared to about 100 per day normally.

Republican lawmakers urged him to reverse course, calling his action “illegal."

“People are already suspicious and on edge. It's reckless to illegally suspend their Second Amendment rights just when they need assurance that they can trust government,” GOP state Sens. Warren Daniel and Danny Britt said in a statement.

Meanwhile, the state government has been sticking to incrementally expanding business closings, tightening assembly limitations and increasing health care system preparations to blunt the spread of COVID-19.

Gov. Roy Cooper issued new orders this week closing several categories of entertainment and personal service establishments by late Wednesday afternoon. Schools are now closed through mid-May and gatherings of more than 50 will now be unlawful.

“Clearly this is an unprecedented situation for the people of our state,” Cooper said Tuesday during a conference call with other statewide elected executive branch officials known as the Council of State. Cooper's administration says the advice of public health leaders doesn't warrant a statewide shelter-in-place order yet. He said the state is preparing for what could be ahead.

“We're coming up with an option for every single scenario, and all of that is on the table right now," Cooper said Monday.

No deaths have been reported in North Carolina. There have been about 30 people hospitalized so far, state Health and Human Services Secretary Mandy Cohen said.

The growth in positive cases comes as the number of completed tests in North Carolina has exceeded 10,000, Cooper said. He said an additional 13,000 tests are pending, with Burlington-based Laboratory Corp. of America heavily involved in completing them.

Attached to the expanded order in Mecklenburg County was a letter from the CEOs of the Atrium and Novant health systems urging a countywide stay-at-home order. The North Carolina Healthcare Association, representing the state's hospitals, also penned a letter Monday asking Cooper to issue a statewide shelter-in-place order.

“We cannot afford to be led by a false sense of security created by a low number of confirmed cases,” association CEO Steve Lawler wrote, adding that supplies are running low around North Carolina.

The North Carolina Chamber's top leader said “a complete shutdown would have a devastating impact” and praised state leaders for taking a disciplined approach, as the state does during natural disasters.

“Acting on decades of experience and avoiding a shelter-in-place will position us to rise from this crisis and begin to rebuild once it has passed,” Chamber CEO Gary Salamido wrote over the weekend.

The state's workforce already has felt the sting of business retractions, including last week's closings of restaurants and bars for dine-in eatingMore than 139,000 new unemployment claims have been filed since March 16, including another 26,000 on Monday. More than 85% of filings are related to COVID-19, the Division of Employment Security said.

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