When Am I Protected Against Covid
You are protected against COVID-19:
- It is more than 14 days since you received a second COVID-19 vaccination with the AstraZeneca, Pfizer or Moderna vaccine;
- It is more than 14 days since you received one vaccination with any of the COVID-19 vaccines used in the Netherlands, and you had previously had COVID-19;
- It is more than 14;days since you received one COVID-19 vaccination with the Janssen vaccine;
- You had COVID-19 within the past 6 months .
If you are protected against COVID-19, you do not need to quarantine. However, it is important to monitor your health closely. If you develop symptoms that could indicate COVID-19, then you should always get tested by the Municipal Public Health Service . Never use a self-test if you have symptoms.
Moving Toward A Better Definition Of Long Haulers And A New Name
Very different chronic illnesses may develop in some people who have had COVID-19. So, the National Institutes of Health has proposed a unifying name: post-acute sequelae of SARS-CoV-2 infection, or PASC. ;;
Most people who get COVID-19 recover within weeks or a few months. However, some will likely suffer chronic damage to their lungs, heart, kidneys or brain that the virus inflicted. Others will develop long COVID.
We do not yet have a formal definition of long COVID. In my opinion, such a definition should include these three points:
- A medical diagnosis of COVID-19, based on both symptoms and/or diagnostic testing for the SARS-CoV-2 coronavirus
- Not having returned to pre-COVID-19 level of health and function after six months
- Having symptoms that suggest long COVID, but no evidence of permanent damage to the lungs, heart, and kidneys that could cause those symptoms.
Is long COVID the same as chronic fatigue syndrome ?
Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, has speculated that long COVID likely is the same as or very similar to myalgic encephalomyelitis/chronic fatigue syndrome .
Lfd Tests While You Are Self
If you are regularly taking part in asymptomatic testing using LFD tests, you can continue to do so as long as these tests are taken at home. Do not leave your house during your self-isolation period to take part in an assisted asymptomatic testing programme.
If your LFD test result is negative, you should still stay at home and self-isolate to avoid putting others at risk. This is because you could still become infectious during the 10 day isolation period.
If your LFD test result is positive, you should arrange to have a follow-up PCR test as soon as possible.
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Are People With Lingering Symptoms Still Contagious
For some people, COVID-19 symptoms persist for several weeks. A CDC report published in July found that 35% of people who tested positive and had symptoms said they had not reverted back to their usual health state after two to three weeks. About 20% of 18- to 34-year-olds with no chronic conditions said the same.
Sometimes people with underlying medical conditions develop this lengthy recovery phase, but not always, Vyas says. Were still learning about why this occurs in some people, so ask your doctor if you have any concerns.
Its believed that these so-called long haulers are likely not contagious after the CDCs recommended 10-day period, Ghosh says.
Theyve killed the virus, but it just triggered an autoimmune or some sort of unusual response thats causing longer-term symptoms, she says. And, we dont know how long those will last at this point. They could turn into chronic illnesses.
Fatigue, coughing, chest tightness, shortness of breath and diarrhea are some of the symptoms that may linger, according to the Cleveland Clinic. Loss of taste and smell is a common symptom of COVID-19, and research shows some people dont regain these senses for four weeks or longer after recovery.
Tips For Jogging Your Memory
When you’re writing your list of close contacts, think back about any:
- social visits outside of your home, who was there and where you went
- visitors to your home this could be, friends, family, workers how close they were to you and how long they were in your home
- transport bus, train, plane, ferry, taxi, or a lift in a car with someone else
- sport or activities with other people
- services you got like hair, beauty or health appointments
You may not know the names and numbers of everyone you were in contact with. For example, if you were at an event or in shared accommodation. In these cases, it would be helpful if you can make a note of the name and mobile phone number of the venue manager, event organiser or COVID officer.
What If I’ve Been Exposed To Someone With Covid
Except in certain circumstances, people who have been in close contact with someone who has COVID-19 should quarantine.;
Read the latest guidance;about quarantine and when to end it: What To Do If You Were Exposed to COVID-19 from NH DHHS
- If you do not;develop symptoms, have not received your full vaccination and have not had a confirmed case of COVID-19 within the last 90 days,;;NH DHHS recommends you quarantine and schedule a test 3-5 days after exposure.
- Some people with COVID-19 experience mild or no symptoms but are still contagious. Note, if;you test positive without symptoms, you still need to inform anyone exposed to you while contagious. Learn more on our COVID-19 Testing page.
What Types Of Medications And Health Supplies Should I Have On Hand For An Extended Stay At Home
Try to stock at least a 30-day supply of any needed prescriptions. If your insurance permits 90-day refills, that’s even better. Make sure you also have over-the-counter medications and other health supplies on hand.
Medical and health supplies
- prescribed medical supplies such as glucose and blood-pressure monitoring equipment
- fever and pain medicine, such as acetaminophen
- cough and cold medicines
- soap and alcohol-based hand sanitizer
- tissues, toilet paper, disposable diapers, tampons, sanitary napkins
- garbage bags.
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Exactly How Long Covid
DiGiallorenzo is right to say its somewhat of a guessing game. Researchers dont know why some people are testing positive for longer than others and theyre scrambling to figure out if those prolonged positive test results mean people are still contagious.
A recent study out of Beijing examined 16 patients with COVID-19 and found that half continued to test positive even after their symptoms, such as cough and fever, ended. Those patients had markers of shedding, indicating they could still spread the disease for up to eight days after they recovered.
Two other studies from Wuhan, China, found similar evidence, suggesting that people are still contagious after theyve clinically recovered. On average, people with COVID-19 shed or emit the virus for 20 days, with some shedding it for up to 37 days.
One of the major obstacles thats prevented us from gathering more evidence on how long the virus sheds is the ongoing lack of widespread testing. In the United States, we barely have enough tests to evaluate those who are presenting symptoms for the first time, let alone people who are coming back for a second test. DiGiallorenzos experience is rare.
Because there is currently a shortage of tests, testing post-symptomatic people may not be a priority for their use, said Ben Singer, a pulmonologist and assistant professor of pulmonary and critical care medicine at Northwestern University Feinberg School of Medicine.
How Is Someone Tested For Covid
A specialized diagnostic test must be done to confirm that a person has an active coronavirus infection. Most often a clinician takes a swab of your nose . Some tests may be done using a saliva sample. The sample is then checked for the virus’s genetic material or for specific viral proteins .
Antibody tests can tell if someone has been infected with COVID-19. But the infected person doesn’t begin producing antibodies immediately. It can take as long as three weeks for a blood antibody test to turn positive. That’s why it is not useful as a diagnostic test for someone with new symptoms.
When Are You No Longer Infectious
But were not sure whether people are infectious when they have recovered but the virus can still be detected in their bodies.
One study from Hong Kong found the virus could be detected for 20 days or longer after the initial onset of symptoms in one-third of patients tested.
Another study from China found found the virus in a patients faecal samples five weeks after the first onset of symptoms.
But the detection of the virus doesnt necessarily mean the person is infectious. We need more studies with larger sample sizes to get to the bottom of this question.
Major Cognitive Effects Of Covid
In survivors of intensive care unit stays due to acute respiratory failure or shock from any cause, one-third of people show such a profound degree of cognitive impairment that performance on neuropsychological testing is comparable to those with moderate traumatic brain injury. In daily life, such cognitive effects on memory, attention, and executive function can lead to difficulties managing medications, managing finances, comprehending written materials, and even carrying on conversations with friends and family. Commonly observed long-term psychological effects of ICU stays include anxiety, depression, and post-traumatic stress disorder . Effects due to COVID ICU stays are expected to be similar a prediction that has already been confirmed by the studies in Britain, Canada, and Finland reviewed above.
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What Are The Possible Symptoms Of Covid
Please see the CDC’s;Symptoms of Coronavirus page for the most;up-to-date information.
Any one of the following symptoms may indicate COVID-19, if new and not explained by another health condition:
- Fever or chills
- Shortness of breath or difficulty breathing
- New loss of taste or smell
- Sore throat
- Nausea or vomiting
Recently, patients testing positive with the Delta variant of COVID reported;experiencing symptoms often mistaken for allergies:;sore throat, cough, headache, congestion. Lately,;fewer patients are ;reporting;loss of taste and smell than those infected with the virus variants circulating in our community last year. Please get tested for COVID-19 if you experience allergy-like symptoms.
Some people with COVID-19 also experience;neurological symptoms, gastrointestinal symptoms. These may occur with or without respiratory symptoms. See Harvard Health’s If you’ve been exposed to the coronavirus.;
Many of these symptoms are also symptoms of other viruses and medical conditions, so it is;important to protect;those around you until you receive test results that indicate if you have COVID-19.;
What Should I Do If I Think I Or My Child May Have A Covid
First, call your doctor or pediatrician for advice.
If you do not have a doctor and you are concerned that you or your child may have COVID-19, contact your;local board of health. They can direct you to the best place for testing and treatment in your area.
If you have a high or very low body temperature, shortness of breath, confusion, or feeling you might pass out, you need to seek immediate medical evaluation. Call the urgent care center or emergency department ahead of time to let the staff know that you are coming, so they can be prepared for your arrival.
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Confused About What To Do After A Covid Exposure Start Here
A guide to testing, quarantining, isolating and returning to work or school, depending on whether youve gotten vaccinated fully, partly or not at all, and your own history with COVID.
Editors note: Information on the COVID-19 crisis is constantly changing. For the latest numbers and;updates, keep checking the;CDCs website.;For the most up-to-date;information from Michigan Medicine,;visit the hospital’s;Coronavirus webpage.
Remember those Choose Your Own Adventure books from grade school?
The ones where you turned to a different page, depending on what you wanted a book character to do?
If you find out you or your child has been around someone who has COVID-19, you might feel like youre living in one of those books.
What should you do next?
And unlike the books, theres a lot more at stake if you make the wrong choice. Plus, you cant turn back to the page you started on.
So, heres a simple Choose Your Own Adventure-style guide to get you through the current surge in cases, and the next few months, safely.
For full details, follow the Choose Your Own Adventure text below.
Wait! This guide doesnt agree with what I was told before.
So the rules about who needs to do what, after they get exposed to a person with COVID-19, have changed.
And the rules apply to children and teens as well as adults. Younger people may not be as likely to get sick, but they can still spread the virus. So where we say you below, you can also substitute your child or teen.
Coronavirus Testing Czar Adm Brett Giroir: ‘nobody’s Declaring Victory This Is The Fight Of Our Generation’
In a briefing with reporters last week, Brett Giroir, the assistant secretary for health at the Department of Health and Human Services, said that a required negative test after a confirmed infection was because of early outbreaks in cruise ships where people were quarantined and looking to get out.
That is no longer needed, and it is medically unnecessary, he said.
The CDC also notes that virus fragments have been found in patients up to three months after the onset of the illness, although those pieces of virus have not been shown to be capable of transmitting the disease.
You could be positive by PCR test long after no longer being infectious, Giroir said during the Health and Human Services briefing July 14. Some people were getting tests four to six times. You dont need to be be retested unless youre critically ill or immunosuppressed in which you could shed virus longer.
A PCR or polymerase chain reaction test detects coronavirus genetic material thats present when the virus is active. Clinicians typically collect a nasal or throat sample from someone with a long nasopharyngeal swab.
Joseph Petrosino, the chair of virology and microbiology at the Baylor College of Medicine, said: I think one of the nice things about the CDC recommendation was that they pulled together a lot of data from a lot of different places from around the world that show that a lot of these long-term shedders are not associated with new infections or virus transmission.
Annex: Interim Guidance On Retesting And Quarantine Of Adults Recovered From Laboratory
Accumulating evidence supports the recommendation that people who have recovered from laboratory-confirmed COVID-19 do not need to undergo repeat testing or quarantine in the case of another SARS-CoV-2 exposure within 90 days of their initial diagnosis. Evidence does not indicate the definitive absence of re-infection during this period, only that risks of potential SARS-CoV-2 transmission from recovered persons are likely outweighed by the personal and societal benefits of avoiding unnecessary quarantine.CDC recommends that all people, regardless of symptoms, and regardless of whether or not they have had laboratory-confirmed COVID-19 in the past, continue to use all recommended prevention strategies;to prevent SARS-CoV-2 transmission .This interim guidance is based upon information available to date and will be updated as new information becomes available.
Summary of Key Findings:
Should You Get Tested Again Before Going Back Into The Community
Due to a global shortage of coronavirus tests, the Commonwealth and state governments have strict criteria about who should be tested for COVID-19 and when.
Read more:Who can get tested for coronavirus?
People who have been self-quarantining, because they had contact with a confirmed case of COVID-19 and have completed their 14-day quarantine period without developing symptoms, can return to the community. There is no requirement to be tested prior to returning to the community. It is, however, recommended they continue to practise social distancing and good hygiene as a precaution.
The requirements are different for people who have been diagnosed with COVID-19.
At present, re-testing people who have experienced mild illness, and have recovered from COVID-19 is not recommended. A person is considered safe to return to the community and discontinue self-isolation if they are no longer infectious. This means they developed their first symptoms more than 10 days prior and have not experienced any symptoms for at least 3 days .
For people who have been hospitalised with more severe illness, the testing requirements before discharge are different. They will have two swabs taken 24 hours apart to check if they have cleared the virus. If the swabs are both negative, they can be discharged and dont require further self-isolation.
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