CSAC Bulletin Article

Department of Public Health Issues Updated COVID-19 Isolation Guidance

January 18, 2024

On January 9, the California Department of Public Health (CDPH) issued updated COVID-19 isolation recommendations. As outlined in the updated guidance, CDPH recommends the following actions to align with common practice of other respiratory viruses:

CDPH Recommendations for people who test positive.

  1. Stay home if you have COVID-19 symptoms, until you have not had a fever for 24 hours without using fever reducing medication AND other COVID-19 symptoms​ are mild and improving.​ ​​​​​​​​​If you do not have symptoms, you should follow the recommend​​ations below to reduce exposure to others.
  2. Mask when you are around other people indoors for the 10 days after you become sick or test positive (if no symptoms). You may remove your mask sooner than 10 days if you have two sequential negative tests at least one day apart. Day 0 is symptom onset date or positive test date.
  3. Avoid contact with people at higher-risk for severe COVID-19 for 10 days*. Higher-risk individuals include the elderly, those who live in congregate care facilities, those who have immunocompromising conditions, and that put them at higher risk for serious illness.
  4. Seek Treatment​. If you have symptoms, particularly if you are at higher risk for severe COVID-19, speak with a healthcare provider as soon as you test positive. You may be eligible for antiviral medicines or other treatments for COVID-19. COVID-19 antiviral medicines work best if taken as soon as possible, and within 5-7 days from when symptoms start. 

​​​​*The potential infectious period is 2 days before the date of symptoms began or the positive test date (if no symptoms) through Day 10. (Day 0 is the symptom onset date or positive test date). 

CDPH Recommendations for close contacts of cases.

  1. If you have new COVID-19 symptoms, you should test and mask right away.
  2. If you do not have symptoms, and are at higher risk of severe COVID-19 infection and would benefit from treatment, you should test within 5 days. 
  3. If you do not have symptoms and have contact with people who are at higher risk for severe infection, you should mask indoors when around such people for 10 days. Consider testing within 5 days after the last exposure date (Day 0) and before contact with higher-risk people. For further details, see CDPH COVID-1​9 tes​​ting guidance​.​
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