What If I’ve Been Exposed But I’m Fully Vaccinated
Even fully vaccinated people who have been in close contact with someone who has COVID-19 should quarantine until they receive a negative test taken 3-5 days after exposure and have no symptoms.
Even if you receive a negative test during days 3-5 from exposure, please wear a mask at all times while indoors for a full 14 days. This is because fully vaccinated people can get develop COVID up to 14 days after exposure without having symptoms. If this happens, you are contagious and can spread the virus to other people.
These guidelines changed in June, 2021 because of the new COVID strain, Delta. Vaccinated people can spread the new Delta COVID variant to others even if they have no symptoms and do not feel ill. Please follow the guidance in the question above.
I Have An Employee Who Had Close Contact To Someone Who Tested Positive For Covid
When can an employee who has had close contact to someone with COVID-19 return to work?
Close contact is defined as being within 6 feet of an infected person for a prolonged period during the infectious period . Employees that have been exposed to a COVID-19 positive person may return to work when they meet the following criteria. Pick the situation that applies to your employee below:
My employee is unvaccinated or partially vaccinated
- They must quarantine.
- It is safest for them to quarantine for 14 days after their last exposure. No test is required to end quarantine.
- They do have other options for quarantine. These options are to:
- Quarantine for 10 days after their last exposure. No test is required to end quarantine. They should monitor themselves for symptoms until 14 days after their last exposure.
- Quarantine and get tested for COVID 6 or 7 days after their last exposure. If their test is negative, they could end quarantine after 7 days of quarantine. They must have their negative test result before ending quarantine and the test cannot be before day 6. This test needs to be performed at a clinic or community test site, they cannot use an at-home test to end quarantine on day 7. They should monitor themselves for symptoms until 14 days after their last exposure.
My employee is fully vaccinatedand does not have symptoms
My employee is fully vaccinated and has symptoms
Employees must isolate at home and get tested.
The Tragedy Of Long Covid
- By Anthony L. Komaroff, MD, Editor in Chief, Harvard Health Letter
Suppose you are suddenly are stricken with COVID-19. You become very ill for several weeks. On awakening every morning, you wonder if this day might be your last.
And then you begin to turn the corner. Every day your worst symptoms the fever, the terrible cough, the breathlessness get a little better. You are winning, beating a life-threatening disease, and you no longer wonder if each day might be your last. In another week or two, youll be your old self.
But weeks pass, and while the worst symptoms are gone, youre not your old self not even close. You cant meet your responsibilities at home or at work: no energy. Even routine physical exertion, like vacuuming, leaves you feeling exhausted. You ache all over. Youre having trouble concentrating on anything, even watching TV youre unusually forgetful you stumble over simple calculations. Your brain feels like its in a fog.
Your doctor congratulates you: the virus can no longer be detected in your body. That means you should be feeling fine. But youre not feeling fine.
The doctor suggests that maybe the terrible experience of being ill with COVID-19 has left you a little depressed, or experiencing a little PTSD. Maybe some psychiatric treatment would help, since theres nothing wrong with you physically. You try the treatment, and it doesnt help.
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I Have An Employee Who Tested Positive For Covid
Do I need to contact Public Health Madison & Dane County about this employee?
No, you do not need to contact us unless you are required by law to report communicable diseases.Do I need to shut down my facility if the employee was at the facility while contagious?Not necessarily. You should quarantine close contacts of the contagious employee. The number of employees who need to quarantine and the number you need to operate your business will determine if you need to shut down.What steps should I take after an employee of my facility tests positive for COVID-19?
- Make sure the employee who tests positive and other employees who are close contacts do not come to work.
- Consider improving ventilation using these Tools for Ventilation from the CDC to bring in more fresh air.
- Follow CDC guidelines for cleaning your facility. When possible, do not reopen until cleaning has been completed.
Do I need to notify customers or clients?If the employee with the positive test had close contact with any customers or clients, those individuals should be notified. This is required under statute 252.03.Does the business with an outbreak need to notify the general public?In extreme cases where a large amount of people working in an establishment test positive and close contacts are not easily traceable, Public Health Madison & Dane County may need to notify the general public that an exposure at that business might have occurred.What is the definition of close contact?
What If I Want To Travel Abroad
Whether youre fully vaccinated or not, youll need to do some prep work. First, find out if the country youre going to has entry requirements or restrictions. Youll need to follow all of its requirements, or you may get sent home. Also ask your airline about its requirements for COVID-19 testing and paperwork.
You should also find out whether COVID-19 is spreading in the country you plan to visit. Take a look at the CDCs COVID-19 Travel Recommendations by Destination to find the current level of risk.
If youre not fully vaccinated, get a COVID-19 test in time to have your result 1 to 3 days before you travel. If youre fully vaccinated, you dont need to get tested beforehand unless the place youre traveling to requires it.
Flying back to the U.S. is a different story. Everyone — even fully vaccinated people — must get a negative COVID-19 test result no more than 3 days before they travel and be able to show that result to airline officials before they get on their flight. Or they must be able to show proof that theyve had the virus and recovered within the past 3 months. The precautions for returning travelers are in place because of the COVID-19 variants still spreading around the world.
Mayo Clinic: COVID-19 travel advice.
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What Might Cause The Symptoms That Plague Long Haulers
Research is underway to test several theories. People who have ME/CFS, and possibly people with long COVID, may have one or more of these abnormalities:
- an ongoing low level of inflammation in the brain
- an autoimmune condition in which the body makes antibodies that attack the brain
- difficulty making enough energy molecules to satisfy the needs of the brain and body.
How Soon After I’m Infected With The New Coronavirus Will I Start To Be Contagious
The time from exposure to symptom onset is thought to be two to 14 days, though symptoms typically appear within four or five days after exposure.
We know that a person with COVID-19 may be contagious 48 hours before starting to experience symptoms. People may actually be most likely to spread the virus to others during the 48 hours before they start to experience symptoms.
For people who are not fully vaccinated, wearing masks, particularly indoors, can help reduce the risk that someone who is infected but not yet experiencing symptoms may unknowingly infect others. As of July 2021, the CDC is also advising people who are fully vaccinated to wear masks in public indoor places in areas of the country with substantial or high transmission of the virus.
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Is Getting Reinfected With Covid
As of August, Weissenbach said COVID-19 reinfection cases make up less than 1% of all COVID-19 cases. But tracking reinfection accurately is difficult because of decentralized testing, lack of communication between labs and a limited number of US labs that save COVID-19 testing samples, he said. In order to confirm reinfection, scientists need to compare the genetic material of previous and current tests.
Another factor that might lead to underreported reinfection cases is that many second instances of COVID-19 are mild, which leads people to not realize they’re infected again, virologist Theodora Hatziioannou told Healthline.
Recovering from COVID-19 can require bedrest.
How Long Are You Contagious With Covid
How infectious someone is depends on how much virus theyre carrying and how much of this virus is able to multiply.
An extensive study in the Lancet Microbe has found that people are most likely to pass on COVID-19 during the first 5 days of symptoms starting. The study found that the amount of active virus in peoples throat particles peaked in the first 5 days from symptoms starting. No active virus was found after 9 days of symptoms starting, so its unlikely that the majority of these people would be very infectious beyond those 9 days.
Its still important to always follow self-isolation rules and social distancing guidelines, to prevent the spread of the virus.
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What Are The Other Types Of Coronaviruses
Coronaviruses are a certain type of virus that causes respiratory illnesses in animals and humans. Corona means crown, and the viruses are named for the proteins on the outside of the viruses that look like crowns.
SARS-CoV-2 is the newest type of coronavirus thats been discovered. The source of this virus is suspected to be animals in an open-air market in China. Its still unclear what kind of animal was the source of the virus.
Coronaviruses can cause respiratory illnesses that range from a mild cold to pneumonia. In fact, most people get some sort of coronavirus infection at some point in their lives.
Other types of coronaviruses include:
Is It More Deadly
Evidence the Delta variant makes people sicker than the original virus is growing.
In the Canadian study, Delta resulted in a 6.1% chance of hospitalisation and a 1.6% chance of ICU admission. This compared with other variants of concern which landed 5.4% of people in hospital and 1.2% in intensive care.
In the Singapore study, patients with Delta had a 49% chance of developing pneumonia and a 28% chance of needing extra oxygen. This compared with a 38% chance of developing pneumonia and 11% needing oxygen with the original strain.
Similarly, a published study from Scotland found Delta doubled the risk of hospitalisation compared to the Alpha variant.
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Whats The Difference Between Exposure And Infection
As with many complicated topics, its best if we start by defining our terms. What does it mean to be exposed to a virus? For purposes of contact tracing in the U.S., an exposure to COVID-19 involves having spent more than 10 minutes at less than 6 feet from someone who is infected while wearing no personal protection, says Ilhem Messaoudi, a viral immunologist at the University of California, Irvine.
How Long Could I Be Contagious Before A Positive Virus Test
How long could I be contagious before a positive virus test?
Studies have shown that people may be contagious for about two days before developing COVID-19 symptoms.
In fact, right before developing symptoms is when people are likely the most contagious, said Dr. Werner Bischoff, an infectious disease specialist at Wake Forest University.
People who never develop symptoms can spread infection, too. Thats a problem because many people would never seek testing unless they developed symptoms or knew theyd been exposed.
But theres a more complicated part to this question: What if someone knows they were exposed but their virus test comes back negative — could they still be contagious?
A negative test within less than seven days after exposure is a very, very poor indicator of whether you have virus on board, said Dr. Alan Wells of the University of Pittsburgh Medical Center.
Some tests are less accurate than others, and you have to factor in the incubation period, he said.
A negative test between seven and 10 days of exposure is a better indicator, Wells said, but even then some people might not test positive until later.
That is why if you have had a credible exposure, you should wear a mask and you should self-quarantine if theres any question, he said.
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What Areas Of The World Are Being Affected By Covid
The coronavirus is a pandemic and all regions around the world are impacted by the outbreak including Australia.
Please Follow These Guidelines For Quarantine:
- If you live with the person with COVID-19,
- Stay at home for 10 days after your last contact with the person with COVID-19, except to get essential medical care, prescriptions and food.
- Do not go to work , school, or public areas . *Essential Services were defined by Governor Duceys Executive Order 2020-12.
- If you work in an essential service* AND do not have any symptoms consistent with COVID-19 and must go to work during the 10 days after your last contact with the person with COVID-19, you must wear a cloth face mask when you are within 6 feet of other people and self-monitor for signs of illness.
- Do not use public transportation, including rideshares and taxis. Do not go on long-distance travel.
- Wash your hands and avoid touching your eyes, nose, and mouth
- Wear a cloth face covering when in public spaces to seek essential services such as medical care, prescriptions and food.
- Clean and disinfect surfaces that are touched often such as counters, tabletops, doorknobs, and kitchen and bathroom fixtures.
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What Is The Coronavirus And Covid
Coronaviruses are a large family of viruses that cause respiratory infections.
The coronavirus that originated in Wuhan, China is a new strain of coronavirus that has not been detected in people before.
The virus was initially known as the Novel Coronavirus , but its now officially named Severe Acute Respiratory Syndrome Coronavirus 2 .
The infectious disease caused by this virus is called COVID-19.
What Counts As Close Contact And Exposure To Covid
- Being within 6 feet of someone for a cumulative total of 10 minutes or longer during the persons infectious period. This exposure can occur over multiple separate contacts or even days.
- Providing care at home to someone who is sick with COVID-19.
- Having direct physical contact with the person
- Sharing eating or drinking utensils.
- Being sneezed on or coughed on.
While wearing masks, being outdoors, and being fully vaccinated significantly reduce virus transmission, these do not eliminate the risk of infection altogether. These circumstances are still considered close contact to an infectious person, especially for prolonged periods of time.
Infectious period: A person is generally infectious 48 to 72 hours before they develop COVID-19 symptoms and for 10 days after their first symptoms appear. Some people who develop more serious or severe symptoms may be infectious for a longer period please contact your primary care provider for recommendations.
Exposure can mean being in close contact with:
- Someone who has possible symptoms of COVID-19, unless they test negative while they are sick.
- Someone who developed symptoms one to two days after you were in close contact. People with COVID-19 may be contagious 48 to 72 hours before they develop symptoms.
- Someone who has not become ill with symptoms but tested positive for COVID-19 within 7 days of your close contact.
When Can Infected People Transmit The Virus
Infected people can transmit the virus whether or not they have symptoms.
People mainly transmit COVID-19 when they have symptoms. But people can also spread it just before they develop symptoms when they are near other people for longer periods of time.
For information on transmission from the World Health Organization, visit How is COVID-19 transmitted?
How Do Saliva Tests Compare To Nasal Swab Tests For Diagnosing Covid
Samples for COVID-19 tests may be collected through a long swab that is inserted into the nose and sometimes down to the throat, or from a saliva sample.
The saliva test is easier to perform spitting into a cup versus submitting to a swab and more comfortable. Because a person can independently spit into a cup, the saliva test does not require interaction with a healthcare worker. This cuts down on the need for masks, gowns, gloves, and other protective equipment.
Either saliva or swab samples may be used for PCR tests, which detect genetic material from the coronavirus. Swab or saliva samples can also be used for antigen tests, which detect specific proteins on the surface of the coronavirus.
A systematic review and meta-analysis published in JAMA Internal Medicine found that saliva- and nasal swab-based tests that used a technique similar to PCR were similarly accurate. A positive result on either test meant that it was accurate at diagnosing the infection 99% of the time. However, approximately 16 out of 100 people who are infected will be missed.
These results are very similar to prior studies, reinforcing that a single negative swab or saliva test does not mean you dont have COVID. If you have symptoms suggestive of COVID, presume you may still be infected to avoid transmitting the virus to others.
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