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California breaks from CDC COVID guidelines

California breaks from CDC COVID guidelines
January 25, 2024



Covid-19 guidelines are slowly disappearing in the US as we enter the fourth year of the pandemic. California’s Department of Public Health issued an official order earlier this month to modify existing Covid-19 control and prevention guidelines. The new rules reduce the isolation period for infected individuals, allowing those testing positive to resume normal activities as long as they are symptom-free. California has become the second state to deviate from CDC guidelines, following Oregon, which made similar changes in May. The decision, as stated in California’s order issued on Jan. 9, is based on the reduced impact of Covid-19 compared to previous years, the availability of treatment, and the evolving measures to protect high-risk individuals while minimizing disruptions to the public.Oregon and California limit quarantineCalifornia breaks from CDC COVID guidelinesThe CDC guidelines advise a minimum of five days of isolation after testing positive for Covid-19 or experiencing symptoms, but Oregon and California have broken away from this recommendation. Residents of both states are no longer required to observe a specific quarantine timeframe after contracting Covid-19. Those with mild and improving symptoms can return to work or school after being fever-free for 24 hours, while those without symptoms are not mandated to isolate. However, individuals in both states are still advised to take precautions even after resuming normal activities, such as avoiding contact with high-risk individuals and wearing masks when in the presence of others for 10 days after testing positive or falling ill.California Department of Public Health Director Dr. Tomás Aragón justified the changes by stating, “We are now at a different point in time with reduced impacts from Covid-19 compared to prior years due to broad immunity from vaccination and/or natural infection, and readily available treatments available for infected people. Our policies and priorities for intervention are now focused on protecting those most at risk for serious illness while reducing social disruption that is disproportionate to recommendations for prevention of other endemic respiratory viral infections.”What does the CDC recommend?The CDC still suggests isolating for at least five days after testing positive.The CDC guidance continues to recommend isolation for individuals with or without symptoms, regardless of their vaccination status. According to the CDC, individuals who suspect they may have contracted Covid-19 should commence isolating, even if they have not been tested. After testing positive, it is recommended to isolate for five days, as this is when the individual is most likely to be contagious. If someone tests positive without symptoms but later develops them within 10 days, the isolation period restarts. After five days, if the person has been fever-free for 24 hours without using medication and their symptoms have improved, they may end their isolation. However, if symptoms persist without improvement, they should wait until they are fever-free for 24 hours and/or their symptoms are improving. Individuals experiencing severe symptoms such as shortness of breath should isolate for an additional five days, making the total quarantine period 10 days. Similarly, individuals who were hospitalized due to severe illness or are immunocompromised should consult a healthcare professional for treatment plans and isolate for at least 10 days.Addressing a potential surge:During the isolation period, the CDC recommends following certain precautions, including wearing a high-quality mask around others both at home and in public, avoiding places where wearing a mask is not possible, refraining from travel, staying home and maintaining distance from others whenever feasible, using a separate bathroom if available, enhancing ventilation at home (if possible), refraining from sharing personal household items like cups, towels, and utensils, monitoring symptoms, and seeking emergency medical care if experiencing an emergency warning sign such as difficulty breathing.

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