LANSING, Mich. (AP) — Michigan Gov. Gretchen Whitmer issued a sweeping order Monday banning dine-in customers at restaurants and closing all bars, movie theaters, gyms and other sports facilities to curb the spread of the coronavirus.

The measure was set to take effect at 3 p.m. and to last through March. Businesses can still offer food and beverages for pickup, delivery and via a drive-through service.

“This disease is a challenge unlike any we’ve experienced in our lifetimes,” Whitmer said in a statement. “Fighting it will cause significant but temporary changes to our daily lives. … This is about saving lives.”

The state reported 20 new cases of COVID-19 on Sunday, bringing the Michigan total to 53. Among the new cases is the state’s first child to test positive, a boy from Oakland County, and the first in Ottawa County west of Grand Rapids.

Whitmer previously declared a state emergency, closed all schools, prohibited gatherings of more than 250 people and restricted visits to hospitals and other facilities. She said Sunday she saw “incredibly disturbing” photos on social media of patrons still cramming into establishments and not observing social distancing amid a global pandemic.

For most people, the virus causes only mild or moderate symptoms, such as fever and cough. For some, especially older adults and people with existing health problems, it can cause more severe illness, including pneumonia.

The disease has infected over 169,000 people worldwide, and more than 6,500 people have died so far.

The Michigan Restaurant & Lodging Association, the trade group for more than 5,000 food-service and lodging establishments, backed Whitmer’s decision.

“It is incumbent upon all Michiganders to remain united to prevent a catastrophic overrun of our limited healthcare resources,” said president and CEO Justin Winslow. “We recognize the governor’s decision is for the health and well-being of all Michigan citizens, however, the restaurant and lodging industries will be decimated in the coming weeks, severely impacting the 600,000 people they employ.”

People can help, he said, by buying gift cards from their favorite restaurant and still ordering carryout or delivery. Restaurants may allow up to five people inside at a time to get orders, so long as they stay 6 feet apart from each other.