What Are The Symptoms Of Covid
If you develop symptoms of COVID-19, even if they are mild, please contact your healthcare provider and a test site near you to schedule a test. You can also check your symptoms online.
Symptoms may appear 2-14 days after exposure to the virus and may include:
- Fever or chills
- Shortness of breath or difficulty breathing
- New loss of sense of taste or smell
- Sore throat
- Nausea or vomiting
- In elderly, chronically ill, or debilitated individuals such as residents of a long-term care facility, symptoms of COVID-19 may be subtle such as alterations in mental status or in blood glucose control
Answer The Text Or Call From Your Health Department
Your local health department or the DHS Contact Tracing Team might reach out to you with more recommendations if you are identified as a close contact during contact tracing.
What if someone in my household has symptoms or tests positive for COVID-19?
If you are not up to date with your COVID-19 vaccines:
Continue to quarantine for 5 additional days starting the day after the person with COVID-19 ends their period of isolation. Your final 5 days of quarantine begins when the following criteria are met:
At least 5 days have passed since anyone in the house has tested positive for COVID-19 or first became ill with COVID-19 symptoms.
Anyone who had symptoms or tested positive was able to wear a well-fitting mask when around others OR at least 10 days have passed since the day of their positive test or their symptoms began.
Anyone with symptoms is improving and has been fever free without the use of fever-reducing medications for at least 24 hours.
Continue to wear a well-fitting mask around others at home and in public for 5 additional days after you end quarantine. Isolate immediately if you develop symptoms or test positive for COVID-19.
If you are up to date with your COVID-19 vaccines:
Continue to wear a well-fitting mask around others for 10 days after the person with COVID-19 ends their isolation. Isolate immediately if you develop symptoms or test positive for COVID-19.
What should I do if I am unable to wear a mask?
What if I am unable to quarantine?
I Recently Recovered From Covid
If you recently recovered from a laboratory-confirmed COVID-19 illness you are not required to quarantine after a new COVID-19 exposure if:
People who develop new COVID-19 symptoms within 14 days of a new exposure and meet the first two criteria above should isolate from others and talk to a healthcare provider to be evaluated for COVID-19. Your provider should ask about whether you’ve been vaccinated for or previously infected with COVID-19. They will talk with you about next steps, including getting tested or ending isolation early.
If you suspect that you’ve previously had COVID-19 but did not have a lab-confirmed result, and are not vaccinated, you should quarantine and get tested after exposure to COVID-19, regardless of if you develop symptoms or not.
You can also use this calculator tool external link to find out if you should quarantine or isolate, and for how long.
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Recommendations For Ending Isolation
For most people with a currentlaboratory-confirmed SARS-CoV-2 infection, isolation and precautions can be discontinued 10 days after symptom onset and after resolution of fever for at least 24 hours, without the use of fever-reducing medications, and with improvement of other symptoms.
For people who are severely ill or severely immunocompromised:
- A test-based strategy can be considered in consultation with infectious disease experts.
- Some people with severe illness may produce replication-competent virus beyond 10 days that may warrant extending the duration of isolation and precautions for up to 20 days after symptom onset.
- Severely immunocompromised patients* may produce replication-competent virus beyond 20 days and require additional testing and consultation with infectious disease specialist to determine the appropriate duration of isolation and precautions.
For people who are asymptomatic :
- Isolation and precautions can be discontinued 10 days after the first positive viral test.
Throw Out Used Gloves And Masks
- take the gloves and mask off right after you provide care and throw them in a waste basket lined with a plastic bag
- take off the gloves first and clean your hands with soap and water before taking off your mask
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If You Start To Show Symptoms Of Covid
- go to a COVID-19covid 19 assessment centre to get tested
- stay home and self-isolate unless you are going to the assessment centre
- tell people you were in close physical contact with in the 48 hours before your symptoms began to monitor their health and to self-isolate
Only call 911 if it is an emergency.
What If I Have Been Identified As A Close Contact And Tested Positive For Covid
If you are identified as a close contact AND meet the following criteria:
- in the past 90 days: you tested POSITIVE for COVID-19 or were considered to be positive for COVID-19 based on exposure history and symptoms, AND
- you have completed your isolation as a positive case of COVID-19, AND
- you do not have any symptoms
then you should continue to monitor for symptoms. If symptoms develop, you should stay home until symptoms have resolved or are improving.
Being tested at a testing clinic is not recommended for individuals who had a positive test result in the past 90 days. For guidance on when to begin screening with a rapid antigen self-test after a positive result, visit the Information for People who Tested Positive page.
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Children And Adults In All Indoor And Outdoor Settings
Was the person less than 6 feet away from someone with confirmed or suspected COVID-19? Consider time spent with someone with COVID-19 starting 2 days before the infected person developed symptoms, or the date they were tested if they do not have symptoms, until they started isolation.
Has the person been in the presence of someone with confirmed or suspected COVID-19 for a cumulative total of 15 minutes or more over a 24-hour period?
If the answers to the questions above are both yes, the person is a close contact, regardless of whether the person was wearing a mask properly.
If the answer to either of the questions above is no, the person is not a close contact.
Whats Considered Close Contact For Covid
Editors note: As what we know about COVID-19 evolves, so could the information contained in this story. Find our most recent COVID-19 blog posts here, and learn the latest in COVID-19 prevention at the Centers for Disease Control and Prevention.
Who did you have close contact with? This is one of the first questions patients are asked after theyve been diagnosed with COVID-19. Obviously, family or friends living under the same roof are considered close contacts. But what about those who were at the outdoor party you attended or at dinner inside your favorite restaurant? What exactly is close contact?
This is a question physicians like myself are increasingly being asked and for good reasonCOVID-19 will continue to be a serious health problem until theres a vaccine and safe and proven therapies to combat it.
The Centers for Disease Control recently redefined its definition of close contact, which previously was being within 6 feet of an infected person for 15 minutes at a time. But now its within 6 feet of that person for a cumulative total of 15 minutes over a 24-hour period, whether youre wearing a mask or not, even though the science shows masks are effective in helping slow the spread of COVID-19. That means if you spoke with an infected person in the grocery store for five minutes and then on your street later that day for 10 minutes and both times you were within 6 feet, its considered close contact.
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Ending Isolation For People Who Had Covid
If you had COVID-19 and had symptoms, isolate for at least 5 days. To calculate your 5-day isolation period, day 0 is your first day of symptoms. Day 1 is the first full day after your symptoms developed. You can leave isolation after 5 full days.
If an individual has access to a test and wants to test, the best approach is to use an antigen test towards the end of the 5-day isolation period. Collect the test sample only if you are fever-free for 24 hours without the use of fever-reducing medication and your other symptoms have improved . If your test result is positive, you should continue to isolate until day 10. If your test result is negative, you can end isolation, but continue to wear a well-fitting mask around others at home and in public until day 10. Follow additional recommendations for masking and restricting travel as described above.
Note that these recommendations on ending isolation do not apply to people with moderate or severe COVID-19 or with weakened immune systems .
Who Is A ‘close Contact’
You are generally a close contact of someone who has COVID-19:
- if you are living with someone who has COVID-19 or
- if you have spent 4 hours or longer with someone in a home or a health or aged-care setting since they developed COVID-19 or
- under exceptional circumstances determined by states or territories
State and territory governments decide on the definition of a close contact and there are differences between them. Please check the definition made by the government of the state or territory that you are in.
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What Are The Different Types Of Covid
There are 2 types of COVID-19 testing: Virus Testing and Antibody Testing.
Virus testing is the type that tells you if you currently have COVID-19. These tests are typically done using a nasal swab, oral swab, or saliva sample, and then sent to a lab. There are two types of this testing:
- Molecular tests detect the presence of viral genetic materials and are considered the gold standard test.
- Antigen tests are rapid tests which detect the presence of certain proteins on the surface of the virus. These tests can be performed at point-of-care or at home and are available over-the-counter. BinaxNOW Antigen Test Abstract | Graph
Antibody testing detects the presence of antibodies to COVID-19 in your blood. Antibodies are produced during an infection with COVID-19 or by vaccination.
- Important to know: At this time, most people dont need antibody tests and they should not be used to guide decisions on whether to stop isolation or return to work. Currently, we do not know what level of antibodies in your blood means that you are immune from further infection with COVID-19.
What If I Live With Someone With Covid
If you live with someone with COVID-19 and they cannot isolate away from you, then you are required to isolate with the COVID-19 positive person for their full isolation period .
If you live, work or access services in a vulnerable setting you should be tested at a testing clinic on the last day of the isolation for the positive case.
You can exit isolation on the last day of the positive cases isolation if you are NOT experiencing any symptoms of COVID-19.
If you DO NOT live, work, or access services in a vulnerable setting and you are NOT experiencing symptoms of COVID-19, you are not required to be tested on the last day of the positive cases isolation.
Continue to monitor for symptoms for 10 days since your last contact with the positive case. If you develop symptoms of COVID-19 follow the guidance above.
You are advised not to visit high-risk settings or individuals until 10 days after your last exposure to a positive case . This recommendation does NOT apply to:
- staff who have completed the isolation and testing and wear well-fitting masks and following appropriate COVID-19 protocols, and
- children attending childcare facilities.
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Ending Isolation For People Who Tested Positive For Covid
If you test positive for COVID-19 and never develop symptoms, isolate for at least 5 days. Day 0 is the day of your positive viral test and day 1 is the first full day after the specimen was collected for your positive test. You can leave isolation after 5 full days.
- If you continue to have no symptoms, you can end isolation after at least 5 days.
- You should continue to wear a well-fitting mask around others at home and in public until day 10 . If you are unable to wear a mask when around others, you should continue to isolate for 10 days. Avoid people who are immunocompromised or at high risk for severe disease, and nursing homes and other high-risk settings, until after at least 10 days.
- If you develop symptoms after testing positive, your 5-day isolation period should start over. Day 0 is your first day of symptoms. Follow the recommendations above for ending isolation for people who had COVID-19 and had symptoms.
- Do not travel during your 5-day isolation period. After you end isolation, avoid travel until 10 days after the day of your positive test. If you must travel on days 6-10, wear a well-fitting mask when you are around others for the entire duration of travel. If you are unable to wear a mask, you should not travel during the 10 days after your positive test.
- Do not go to places where you are unable to wear a mask, such as restaurants and some gyms, and avoid eating around others at home and at work until 10 days after the day of your positive test.
What You Can Continue To Do
The San Francisco Department of Public Health urges people to be ready for COVID by taking the following steps:
- Stay up-to-date on your vaccinations, including the primary series and the boosters when eligible. This continues to be our first defense against the virus and helps to prevent severe illness and hospitalization.
- Keep a supply of rapid COVID-19 over-the-counter antigen test kits on hand. You can get free test kits from the federal government, health systems, and community organizations. You may also purchase them and be reimbursed by your health insurance. Keep well-fitted N95 or KN95 masks handy. You are also well-protected by wearing a cloth mask over a surgical mask.
- Plan ahead for a possible infection. You may need an isolation plan, a child-care plan, or a work plan.
- Know how to reach a doctor. Ask your provider now about antiviral treatment, especially if you are at high risk for severe illness.
- Stay informed with trusted sources of information, such as SF.gov/covid.
Thank you for your continued cooperation and for all you are doing to keep our community safe and healthy.
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If They Are Not Up To Date On Vaccines
The close contact needs to quarantine for at least 5 days from the date of last close contact.
The close contact should wear a well-fitting mask when around others for 10 days from the date of the last close contact with someone with COVID-19.
If they test positive, continue to isolate.
Key Findings From Transmission Literature
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If You Are A Close Contact Of Covid
The advice around close contacts has changed. If you think you have been in close contact with someone who has COVID-19, you do not need to restrict your movements or self-isolate.
- watch out for symptoms of COVID-19 – it can take up to 14 days after you are infected for symptoms to show
- take extra care to follow the advice on protecting others from COVID-19, in case you have the virus
If you have been in close contact with someone with COVID-19, you do not need to do a COVID-19 test unless you are a healthcare worker.
If you are a healthcare worker living with someone who has COVID-19, do 3 antigen tests over 7 days. You do not need to restrict your movements.