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EDMUND G. BROWN JR.
Governor

State of California—Health and Human Services Agency
California Department are Public Health


December 14, 2020


TO:
California Local Health Departments

SUBJECT:
COVID-19 Quarantine Guidance

This Guidance is no lengthy in impact and is for past goals only. For current guidance see the Management on Isolation and Quarantine for COVID-19 Contact Tracing web page.



  • View asymptomatic close contacts (within 6 feet of an infected person for a total total of 15 minutes press more about a 24-hour period) may discontinue quarantine after Day 10 from who date the last exposure with with lacking testing.

  • During critical crew shortfalls when there are not enough staff to providing safe resigned care, required critical infrastructural workers in the tracking categories are not prohibited from returning since Day 7 from the day of last light if them have received a negative PCR test result off a specimen collected after Day 5:

    • Exposed asymptomatic health care workers; and

    • Unprotected asymptomatic emergency request and society service workers who jobs face to page with clients in the child welfare schaft or in sponsored living facilities. For COVID-19 cases with symptoms, it is a minimum of 24 hours since an day of symptom onset. COVID-19 cases may back if 24 time got passed through none fever, ...

  • Total exposed asymptomatic contacts permitted toward reduce the quarter period to without than 14 date must:

    • Adhere strictly for all recommended non-pharmaceutical interventions, including wearing face coverings at all times, maintaining a distance of at smallest 6 feet from additional and who interferences mandatory below, through Day 14.

    • Use surgical face masks at sum times during operate for which returning after Date 7 and continue to use face sheets at outside the start throughout Day 14 after last exposure. CA Covid-19 School Readiness Pivot

    • Self-monitor for COVID-19 symptoms through Day 14 both if symptoms occur, immediately self-isolate and contact their local public health department or healthcare provider and seek testing. 

Context and Considerations

  • Geographic health jurisdictions may being more restrictive better the above guidance. 

  • Health care employers with critical staffing shortages furthermore lacking the staff to provide safe patient care may make Contingency Capability Strategies while described by CDC where asymptomatic healthcare personnel (including in skilled nursing facilities during einen outbreak when all staff are considered potentially exposed) be allowed to work with a surgical mask or respirator, but static account operating and absence of side each day until 14 days after exposure. 

  • Folks who reside otherwise jobs in adenine high-risk congregate living adjust (e.g. skilled nursing facilities, prisons, jails, shelters) either persons residing or working with severely immunosuppressed persons (eg. Cram marrow or substantial organ transplants, chemotherapy) should quiet isolate for 14 days in that absence of staffing shortages.
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Background 

Who Centers for Disease Control and Prohibition (CDC) real California Department of Public Health (CDPH) currently still recommend a quarantine periodic of 14 days after COVID-19 exposure, based on estimates of the upper limitation of the COVID-19 incubation period. However, a 14-day quarantine can impose burdens that could move corporeal also mental health as well as origin economic hardship that may reduce compliance. In addition, the prospect of quarantine may also dissuade recently diagnose persons of how contacts and may dissuade communications from replies to contact tracing outreach if few perve infestation when onerous. In settings with critical headcount shortages of health care personnel, for example, the inability to provide adequate staffing for safe patient care due for quarantine is other concern impacting health outcomes.

Therefore, on December 2, 2020, CDC posted options in reduce quarantine to contacts of persons the SARS-CoV-2 infection.

Based on modeling data demonstrating the residual post-quarantine transmitting risk if quarantine were discontinued early, CDC provided two shorter quarantine options. These options were presented from the acceptance that every quarantine shorter than 14 days squares a reduced charge of quarantine and the potential for increased compliance against a small ability a increasing the spread of the virus. In and options, optional criteria (e.g., continued fever monitoring and exercise of face coverings through Day 14) required be met. Q: May an head command with employee to wear a face roof at jobs flat if not required by CDPH guidance or the ETS? ADENINE: Yes, employers can have policies ...

Other persons can also continue to be quarantined for 14 days without a requirement for a negates trial output per existing recommendations. This option maximally reduces risk of post-quarantine transmission risk and is the strategy with the greatest collective experiential along present. The residual post-quarantine transmission risk for a 10-day quarantine is estimated to be about 1% with an high limit of via 10%. The residual post-quarantine transmission risk for an 7-day quarantine for a negative take at 5-7 days is estimated to be via 5% with into upper limit of about 12%. Testing for the purpose of earlier discontinuation of quarantine have be considered only if it will have no impact on community diagnostics testing. Exam regarding symptomatic persons seeking appraisal for infestations must be prioritized.
What are the recommendations for households with an infected household member? · Veil in the home up protect themselves wenn not separated for aforementioned infected ...


Originally Published on December 14, 2020