Cdc Guidelines On International Travel Quarantine – While California is lifting general COVID restrictions effective June 15, 2021, there are still travel-related and physical attendance expectations for students, faculty, and staff regarding all Cal Lutheran campus/center locations.
California Lutheran University follows the Center for Disease Control (CDC) and State of California travel guidelines as a minimum level of precaution. Refer to the KNOW website for additional policies specific to the institution.
Cdc Guidelines On International Travel Quarantine
Currently, there are no restrictions on re-entry, physical presence on campus for members of the community who have been vaccinated by a vaccine approved by the World Health Organization (WHO).
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If not fully vaccinated, anyone physically present on Cal Lutheran grounds is required to follow the institution’s expectations for individuals who are not vaccinated. Refer to the KNOW page for vaccine waivers and behavioral expectations (eg mask wearing, social distancing, etc.).
If you enter the United States, follow all country-specific travel requirements and refer to the requirements of the US Port of Entry / Re-entry. Currently, a person (including a US citizen) entering the US who has been fully vaccinated three (3) days before traveling by air to the US must show documentation of recovery from COVID-19 in ‘ e past three months. After entry into the US, vaccinated travelers may be on campus without a self-quarantine period (eg attending class, teaching, etc.) returning.
In addition to following all country-specific travel requirements and referring to the requirements of the US Port of Entry / Re-entry. Currently, a person (including a US citizen) entering the US from abroad who is not fully vaccinated must:
Students living on campus must follow the policies outlined by Residence Life regarding testing, quarantine, etc. International students will also receive reminders about the COVID policy for residential students through the Office of International Students and Scholars (OISS) email updates and pre-orientation sessions.
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Faculty, staff, and students should refer to the University’s travel status to review travel approval petition protocols, if applicable. , August 2022
High levels of immunity and availability of effective tools for prevention and management of COVID-19 have reduced the risk of medically significant illness and death.
To prevent medically significant illness and death from COVID-19, individuals should understand their risk, take steps to protect themselves and others with vaccines, therapeutics, and non-pharmaceutical interventions as needed, receive testing, and wear masks if exposed, testing receive if symptomatic, and isolate for ≥5 days if infected.
Medically significant illness, death, and health care system strains can be reduced through vaccination and therapies to prevent severe disease, complemented by the use of multiple prevention methods to reduce the risk of exposure and an emphasis on protecting individuals at high risk for severe disease.
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As SARS-CoV-2, the virus that causes COVID-19, continues to circulate worldwide, high levels of vaccine- and infection-induced immunity and the availability of effective treatments and prevention tools have reduced the risk of medically significant COVID- 19 substantially reduced illness (severe acute illness and post-COVID-19 conditions) and associated hospitalization and death (1). These circumstances now allow public health efforts to minimize the individual and societal health impacts of COVID-19 by focusing on sustainable measures to further reduce medically significant disease, as well as to minimize the strain on the healthcare system, while the barriers for social, educational, and economic activity (2). Individual risk for medically significant COVID-19 depends on a person’s risk for exposure to SARS-CoV-2 and their risk for developing severe disease if infected (3). Exposure risk can be reduced through non-pharmaceutical interventions, including improving ventilation, use of masks or respirators indoors, and testing (4). The risk for medically significant disease increases with age, disability status, and underlying medical conditions, but is significantly reduced by immunity derived from vaccination, previous infection, or both, as well as timely access to effective biomedical prevention measures and treatments (3, 5) . The public health recommendations change in response to evolving science, the availability of biomedical and public health tools, and changes in context, such as levels of immunity in the population and currently circulating variants. recommends a strategic approach to minimize the impact of COVID-19 on health and society that relies on vaccination and therapies to prevent severe disease; use of multi-component prevention measures where possible; and special emphasis on protecting individuals at high risk for serious illness. Efforts to expand access to vaccination and therapeutics, including the use of preexposure prophylaxis for immunocompromised individuals, antiviral agents, and therapeutic monoclonal antibodies, must be intensified to reduce the risk of medically significant disease and death. Efforts to protect individuals at high risk for severe disease must ensure that all individuals have access to information to understand their individual risk, as well as efficient and equitable access to vaccination, therapies, testing and other prevention measures. Current priorities for preventing medically significant disease should focus on ensuring that individuals 1) understand their risk, 2) take steps to protect themselves and others through vaccines, therapeutics and non-pharmaceutical interventions as needed, 3) receive testing and masks wear if they have been exposed, and 4) get tested if they are symptomatic, and isolate for ≥5 days if they are infected.
COVID-19 vaccination. Vaccines against COVID-19 are highly protective against severe disease and death and provide a lesser degree of protection against asymptomatic and mild infection (6). Receipt of a primary series alone, in the absence of being up to date with vaccination * by receiving all the recommended booster doses, provides minimal protection against infection and transmission (3, 6). Being up-to-date on vaccination provides a transient period of increased protection against infection and transmission after the most recent dose, although protection may wane over time. The rates of COVID-19-associated hospitalization and death are substantially higher among unvaccinated adults than among those up to date with recommended COVID-19 vaccination, particularly adults aged ≥65 years ( 5 , 7 ). Emerging evidence suggests that vaccination for infection also provides some protection against post-COVID-19 conditions,
And that vaccination among individuals with post-COVID-19 conditions may help reduce their symptoms (8). Continuing to increase vaccination coverage and ensuring that individuals are up to date with vaccination are essential to avoid severe outcomes. Overall booster dose coverage in the United States remains low,
Which is concerning, given the meaningful reductions in risk for severe disease and death that booster doses provide and the importance of booster doses in counteracting the waning of vaccine-induced immunity. Public health efforts to expand coverage and promote equitable access to vaccination have resulted in similar rates of primary series coverage across most racial and ethnic groups (9); however, racial and ethnic differences in booster coverage have emerged (10). Supporting community partnerships and leveraging trusted sources of information should continue to eliminate persistent disparities and achieve equity in booster dose coverage, including through increased education efforts and promotion of equitable vaccination. Public health efforts should continue to promote up-to-date vaccination for all, especially with vaccines targeting emerging new variants that may be more transmissible or immune evasive.
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Preexposure prophylaxis. Effectiveness of vaccine against COVID-19 against severe outcomes is lower in persons who are immunocompromised than in those who are not, and persons who are immunocompromised and COVID-19 are at increased risk of intensive care admission and death units while hospitalized, regardless of their vaccination status (11, 12). Preexposure prophylaxis with Evusheld
May help protect individuals with moderate to severe immunocompromise who may not mount an adequate immune response after COVID-19 vaccination, as well as individuals for whom COVID-19 vaccination is not recommended due to their personal risk of severe adverse reactions. In addition to early antiviral treatment when infected, individuals who are moderately or severely immunocompromised may benefit from COVID-19 preexposure prophylactic medication to help prevent severe COVID-19 disease, as a supplement to current vaccination for themselves and their close contacts, early testing , non-pharmaceutical interventions, and prompt access to treatment when infected.
Medications to treat COVID-19. Antiviral drugs (Lagevrio [molnupiravir], Paxlovid [nirmatrelvir and ritonavir], and Veklury [remdesivir]) and monoclonal antibodies (bebtelovimab) are available to treat COVID-19 in individuals who are at increased risk for severe disease,** including older adults, unvaccinated persons, and those with certain medical conditions
(13). Antiviral agents reduce the risk of hospitalization and death when administered soon after diagnosis. The federal Test to Treat initiative facilitates rapid, no-cost access to oral COVID-19 treatment for eligible individuals who receive a positive SARS-CoV-2 test result.
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Continued efforts are needed to reduce racial and ethnic disparities in receipt of monoclonal antibody therapies (14) and disparities in dispensing rates for oral antiviral prescriptions due to community social vulnerability (15).
Monitoring of COVID-19 community levels to guide COVID-19 prevention efforts. Individuals can use information about the current level of COVID-19 impact on their community to decide which prevention behaviors to use and when (at all times or at specific times), based on their own risk of severe disease and that of members of their household, their risk tolerance, and institution-specific factors. The COVID-19 Community Levels of COVID-19 reflect the current effect of COVID-19 on communities and identify geographic areas that may experience increases in severe COVID-19-related outcomes, based on hospitalization rates,
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