Workplace Not Following Cdc Guidelines – The public health assessment of close contacts of patients with laboratory-confirmed or probable COVID-19 may vary depending on the exposure setting. Contacts in special populations and/or community settings require additional considerations and may need to be referred to a senior health department investigator or special team. Additional guidance on managing these contacts can be found in Outbreak Investigations.
In jurisdictions with testing capacity, symptomatic and asymptomatic close contacts of patients with confirmed and probable COVID-19 should be evaluated and monitored. For areas with insufficient testing support and/or limited public health resources, the following hierarchy of assessment and monitoring (Box 4) and recommendations for prioritizing case investigation and contact tracing can be used to aid prioritization. The hierarchy is based on the assumption that if close contacts are listed in priority 1
Workplace Not Following Cdc Guidelines
Potentially exposing many people, those at higher risk of severe disease or critical infrastructure workers. If close contacts are in priority 2
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, may be at greater risk of serious illness, so immediate notification, monitoring and connection to the necessary health and support services is important.
When prioritizing close contacts for assessment and monitoring, jurisdictions should consider local characteristics of disease transmission, demographics, and public health and health system capacity. Some states require mandatory testing in specific circumstances. Local decisions depend on local guidelines and circumstances.
The case study and contact tracing prioritization recommendations are intended to provide additional information and outline preferred strategies for treatment. Implementation should be guided by what is feasible, practical and acceptable, as well as tailored to the needs of each community.
*Consider moving to Priority 1 any critical infrastructure worker who works closely with other critical infrastructure workers and/or is in close contact with large numbers of people (eg transportation, hospitality).
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Contact tracers use clear protocols for notifying, interviewing and counseling close contacts of patients with confirmed or probable COVID-19. Jurisdictions can use the following steps and considerations as a framework when developing a close contact tracing protocol.
People identified as close contacts should follow guidelines to protect themselves and others. Recommendations for close contacts regarding quarantining, testing, and wearing tight-fitting masks after exposure to people diagnosed with COVID-19 vary based on their current vaccination status and history of prior COVID-19 diagnosis in the past 90 days. People who have been in close contact with people diagnosed with COVID-19 should follow the recommendations listed on the COVID-19 Quarantine and Isolation website.
All close contacts should monitor for symptoms of COVID-19 and be tested immediately and isolated from others if they develop symptoms. People with symptoms of COVID-19 should seek emergency medical attention immediately if they experience emergency warning signs.
Quarantine of close contacts exposed to COVID-19 prevents transmission to others and is critical to the success of case investigations and contact tracing efforts. For most, quarantine can be done at home. If possible, loved ones should be asked to voluntarily stay at home, monitor themselves and maintain social distance from others. Recommendations for close contacts vary based on their current vaccination status or history of previous infection in the past 90 days. Close contacts who need to be quarantined should follow the recommendations listed on the COVID-19 Quarantine and Isolation website. Adherence to quarantine instructions may depend on the support provided to close contacts.
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Quarantine requires the close contact to remain in a designated area, separate from other unexposed people and pets in the home, and ideally with access to a separate bathroom. The contact tracer must assess the individual’s ability to quarantine in a safe environment that allows, among other things, access to a private room and bathroom and access to adequate food and water.
For a portion of the US population, a safe environment with a private room and bathroom and adequate food and water will be a challenge. Close contacts who express fear of abuse or violence should also be taken into account if they have to be quarantined at home. In addition, some close contacts (eg, single parents, nursing mothers, parents with children and toddlers, and other primary caregivers) may face other challenges, such as the need to provide childcare or care for dependent adults, which may affect their ability to quarantine . Social services, accommodation and other support services will be needed for those contacts who cannot be separated from others in their current life situation. See Support Services for further considerations.
Close contacts will also need to be supported with health counseling to ensure they monitor their temperature and the onset of any symptoms of COVID-19 daily and have access to clinical services if symptoms occur. Coordination of access to telehealth services may be necessary for contacts without virtual access to a primary care provider. If possible, close contacts who need additional support should be provided with a COVID-19 kit with the following resources during quarantine*:
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High levels of immunity and the availability of effective tools to prevent and manage COVID-19 have reduced the risk of medically significant illness and death.
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To prevent medically significant illness and death from COVID-19, people must understand their risk, take steps to protect themselves and others with vaccines, therapeutics and non-pharmaceutical interventions when necessary, get tested and wear masks when exposed, testing if symptomatic and isolating for ≥5 days if infected.
Medically important disease, death, and the burden on the health care system can be reduced by vaccination and therapeutics to prevent severe disease, complemented by the use of multiple preventive methods to reduce the risk of exposure and an emphasis on protecting those at high risk of severe disease.
As SARS-CoV-2, the virus that causes COVID-19, continues to circulate around the world, high levels of vaccine- and infection-induced immunity and the availability of effective drugs and prevention tools have significantly reduced the risk of medically significant COVID- 19 diseases (severe acute illness and conditions after COVID-19) and related hospitalization and death (1). These circumstances now enable public health efforts to reduce the impacts of COVID-19 on the health of individuals and society by focusing on sustainable measures to further reduce medically significant diseases and to reduce burdens on the health care system, while reducing barriers to social, educational, and economic activity ( 2). The individual risk of medically significant COVID-19 depends on the individual’s risk of exposure to SARS-CoV-2 and their risk of developing severe disease if infected (3). The risk of exposure can be reduced by non-pharmaceutical interventions, including improving ventilation, use of masks or respirators indoors, and testing (4). The risk of a medically significant disease increases with age, disability status, and underlying health conditions, but is significantly reduced by immunity derived from vaccination, previous infection, or both, as well as by timely access to effective biomedical preventive measures and treatment (3, 5 ). . Public health recommendations change in response to evolving science, 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 reduce the impact of COVID-19 on health and society, based on vaccination and therapeutics to prevent severe disease; use of multi-component preventive measures where feasible; and a special emphasis on the protection of persons at high risk of serious diseases. Efforts to expand access to vaccination and therapeutic agents, including the use of pre-exposure prophylaxis for the immunocompromised, antiviral agents and therapeutic monoclonal antibodies, must be intensified to reduce the risk of medically significant illness and death. Efforts to protect people at high risk of serious disease must ensure that all people have access to information to understand their individual risk, as well as effective and equitable access to vaccinations, therapeutics, testing and other preventive measures. Current priorities for preventing medically important diseases should focus on ensuring that people 1) understand their risk, 2) take steps to protect themselves and others with vaccines, therapeutics, and non-pharmaceutical interventions when needed, 3) get tested, and wear masks if exposed and 4) get tested if symptomatic and isolate for ≥5 days if
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