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CDC drops quarantine, screening recommendations for COVID-19

NEW YORK (AP) — The nation’s top public health agency relaxed its COVID-19 guidelines Thursday, dropping the recommendation that Americans quarantine themselves if they come into close contact with an infected person.

The Centers for Disease Control and Prevention also said people no longer need to stay at least 6 feet away from others.

The changes, which come more than 2 1/2 years after the start of the pandemic, are driven by a recognition that an estimated 95% of Americans 16 and older have acquired some level of immunity, either from being vaccinated or infected, agency officials said.

“The current conditions of this pandemic are very different from those of the last two years,” said the CDC’s Greta Massetti, an author of the guidelines.

The CDC recommendations apply to everyone in the US, but the changes could be particularly important for schools, which summarize classes this month in many parts of the country.

Perhaps the biggest education-related change is the end of the recommendation that schools do routine daily testing, although that practice can be reinstated in certain situations during a surge in infections, officials said.

The CDC also dropped a “test-to-stay” recommendation, which said students exposed to COVID-19 could regularly test — instead of quarantining at home — to keep attending school. With no quarantine recommendation anymore, the testing option disappeared too.

Masks continue to be recommended only in areas where community transmission is considered high, or if a person is considered at high risk of severe illness.

School districts across the US have scaled back their COVID-19 precautions in recent weeks even before the latest guidance was issued. Some have promised to return to pre-pandemic schooling.

Masks will be optional in most districts when classes resume this fall, and some of the nation’s largest districts have dialed back or eliminated COVID-19 testing requirements.

Public schools in Los Angeles are ending weekly COVID-19 tests, instead making at-home tests available to families, the district announced last week. Schools in North Carolina’s Wake County also dropped weekly testing.

Some others have moved away from test-to-stay programs that became unmanageable during surges of the omicron variant last school year.

The American Federation of Teachers, one of the nation’s largest teachers unions, said it welcomes the guidance.

“Every educator and every parent starts every school year with great hope, and this year even more so,” President Randi Weingarten said. “After two years of uncertainty and disruption, we need as normal a year as possible so we can focus like a laser on what kids need.”

The new recommendations prioritize keeping children in school as much as possible, said Joseph Allen, director of Harvard University’s healthy building program. Previous isolation policies forced millions of students to stay home from school, he said, even though the virus poses a relatively low risk to young people.

“Entire classrooms of kids had to miss school if they were deemed a close contact,” he said. “The closed schools and learning disruption have been devastating.”

Others say the CDC is going too far in relaxing its guidelines.

Allowing students to return to school five days after infection, without proof of a negative COVID-19 test, could lead to outbreaks in schools, said Anne Sosin, a public health researcher at Dartmouth College. That could force entire schools to close temporarily if teachers get sick in large numbers, a dilemma that some schools faced last year.

“All of us want a stable school year, but wishful thinking is not the strategy for getting there,” she said. “If we want a return to normal in our schools, we have to invest in the conditions for that, not just drop everything haphazardly like we’re seeing across the country.”

The average numbers of reported COVID-19 cases and deaths have been relatively flat this summer, at around 100,000 cases a day and 300 to 400 deaths.

The CDC previously said that if people who are not up to date on their COVID-19 vaccinations come into close contact with a person who tests positive, they should stay home for at least five days. Now the agency says quarantining at home is not necessary, but it urges those people to wear a high-quality mask for 10 days and get tested after five.

The agency continues to say that people who test positive should isolate themselves from others for at least five days, regardless of whether they were vaccinated. CDC officials advise that people can end isolation if they are fever-free for 24 hours without the use of medication and they are without symptoms or the symptoms are improving.

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Binkley reported from Washington.

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The Associated Press Health & Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content.

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Categories
US

CDC eases Covid guidance as US has more tools to fight the virus and keep people out of the hospital

A sign outside of a hospital advertises COVID-19 testing on November 19, 2021 in New York City. On Friday vaccine advisers to the US Centers for Disease Control (CDC) and Prevention voted unanimously in recommending a booster shot of the COVID-19 vaccines for all adults in the United States six months after they finish their first two doses.

Spencer Platt | Getty Images

The Centers for Disease Control and Prevention eased its Covid-19 guidance on Thursday, saying the virus now poses a much lower risk of severe illness, hospitalization and death compared to earlier in the pandemic.

The CDC is no longer recommending testing to screen people with possible asymptomatic infections in most settings, such as schools. However, screening is still recommended in certain high risk settings such as nursing homes and prisons.

And people who are not up to date on their vaccines no longer need to quarantine if they have been exposed to Covid-19, according to the new CDC guidance. Instead, public health officials now recommend that these individuals wear a mask for 10 days and get tested on day five.

Greta Massetti, a CDC epidemiologist, said the US has the vaccines and treatments needed to fight the virus. As a consequence, the virus now poses a much lower threat to public health, according to the CDC. But it remains crucial for everyone to remain up to date on their vaccines, according to the public health agency.

“This guidance acknowledges that the pandemic is not over, but also helps us move to a point where COVID-19 no longer severely disrupts our daily lives,” Massetti said in a statement.

People with healthy immune systems, regardless of vaccination status, should isolate for five days after testing positive for the virus, but you can end isolation at day six if you have not had symptoms or if you have not had a fever for 24 hours and other symptoms have improved, according to the guidelines.

After leaving isolation, you should wear a high-quality mask through day 10 after your positive test. If you have had two negative rapid antigen tests you can stop wearing your mask earlier, according to the guidelines. But you should avoid people who are more likely to get sick from Covid, such as the elderly and people with weak immune systems, until at least day 11.

People with weakened immune systems, those who have been hospitalized with Covid, or those who have had shortness of breath due to the virus should isolate from others for 10 days. But people with weakened immune systems and those who were hospitalized should also consult a physician before ending isolation.

If you end isolation but your Covid symptoms worsen, you should return to isolation and follow the guidelines from scratch again, according to the CDC.

The US is currently reporting more than 107,000 new cases a day on average, according to the CDC. That’s likely to be a significant undercount because many people are now testing at home and results are not picked up in official data.

About 6,000 people with Covid are admitted to the hospital a day on average, according to the CDC data. Nearly 400 people are still dying a day on average from the virus.

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