Re l e ase from Isol ati on and Q uaranti ne ' Gui d ance

1 Release from isolation and Quarantine' GuidanceRecommendations forquarantineand discontinuationofisolationprecautions and homeisolation, based upon a person s symptoms and clinical testing are below. COVID-19workrestriction guidance for healthcareworkersdiffersfrom isolation and quarantine for thegeneral population. The most recent updates to this document can be foundhere. If a person issymptomaticandawaitingQCOVID-19test results: Stay home away from others or under isolation precautions until results areavailable. If results are delayed, follow guidance for symptomatic and tested positivefor COVID-19. Once results are available, follow the recommendations below basedon results.

2 If a person issymptomaticandtested positiveforCOVID-19 by PCR or antigen testing,stay home away from others or under isolation precautions until: At least 5 daysIhave passed since symptoms firstappeared; AND At least 24 hours have passed since last fever without the use of medicine thatreduces fevers; AND Other symptoms have improved. Individuals should continue to wear a mask around others and take additionalprecautionsIthrough at least day 10 from when symptomsfirst began. If you cannotwear a mask during this time, you must continue to isolate for 10 full days aftersymptoms first began. If a person issymptomaticandtested negativeQforCOVID-19 by PCR or antigen testing,stay home away from others or under isolation precautions until: At least 24 hours have passed since last fever without the use of medicine thatreduces fevers; AND Other symptoms have improved.

3 If a person issymptomaticand hasnot been testedQfor COVID-19 by PCR or antigentesting, stay home away from others or under isolation precautions until: At least 5 daysIhave passed since symptoms firstappeared; AND At least 24 hours have passed since last fever without the use of medicine thatreduces fevers; AND Other symptoms have improved. Individuals should continue to wear a mask around others and take additionalprecautionsIthrough at least day 10 from when symptomsfirst began. If you cannotwear a mask during this time, you must continue to isolate for 10 full days aftersymptoms first began. If a person isasymptomaticandawaitingQCOVID-19test results:Updated: 2/4/2022 No isolation is required while waiting for test results.

4 Take everyday precautions toprevent the spread of COVID-19. Once results are available, followrecommendations based on results. If a person isasymptomaticandtested positiveforCOVID-19 by PCR or antigen testing,stay home away from others or under isolation precautions until: At least 5 daysIhave passed since specimen collectionof the first positive COVID-19 PCR/antigen testing while asymptomatic. If symptoms develop, follow guidance for symptomatic and tested positive forCOVID-19. Individuals should continue to wear a mask around others and take additionalprecautionsIthrough at least day 10 since specimencollection of the first positivetest.

5 If you cannot wear a mask during this time, you must continue to isolate for 10full days after collection of the first positive test. If a person isasymptomaticandtested positiveQforCOVID-19 by serology: No isolation is required since there is a low likelihood of active infection. Takeeveryday precautions to prevent the spread of COVID-19. If a person isasymptomaticandtested negativeQforCOVID-19 by PCR, antigen testing,or serology: No isolation is required. Take everyday precautions to prevent the spread ofCOVID-19. If a person has other non-compatible symptoms and has not been tested for COVID-19,stay home away from others or under isolation precautions until: At least 24 hours have passed since last fever without the use of medicine thatreduces fevers; AND Other symptoms have :The guidance above has symbolic notation foradditional considerations denoted by I forisolationand Q forquarantine.

6 See respective sections below foradditional general, inpatients/residents in healthcare orcongregate settingsshould complete a 10-day , public health may use additional considerations in determining the period of isolation in these person who hadsevere/critical illnesswho is notmoderately or severely immunocompromisedshould consultwiththeir healthcare provider about when they can resume being around other people: If symptomatic, stay home away from others or under isolation precautions until: At least 10 and up to 20 days have passed since symptoms first appeared; AND At least 24 hours have passed since last fever without the use of medicine that reduces fevers; AND Other symptoms have improved.

7 If asymptomatic, stay home away from others or under isolation precautions until: At least 10 and up to 20 days have passed since specimen collection of the first positive COVID-19 PCR/antigen testing while asymptomatic. If symptoms develop, follow guidance for symptomatic andtested positive for andseverely immunocompromisedpeople withCOVID-19 shouldconsult with their healthcare providerabout when they can resume being around other people since they may remain infectious beyond 20 days after theirUpdated: 2/4/2022symptoms began and require additional SARS-CoV-2 testing (test-based strategy) and consultation with infectiousdiseases specialists and infection control Precautions for Shortened isolation A person who ends isolation before a full 10 days should.

8 Avoid people who are immunocompromised or at high risk for severe disease, and nursing homes andother high-risk settings, until after at least 10 days. Not travel during their 5-day isolation period. After ending isolation , they should avoid travel until a full 10days after their first day of symptoms. If they must travel on days 6 10, they should wear a mask whenaround others for the entire duration of travel. If they are unable to wear a mask, they should not travelduring the 10 days. Not go to places where they are unable to wear a mask, such as restaurants and some gyms, and avoideating around others at home and at work until a full 10 days after their first day of symptoms.

9 If a person tests positive on an antigen test towards the end of their 5-day isolation period, they shouldcontinue to isolate through day of the criteria above, extension of isolation is not routinely recommended if an individual is retested within 3months (90 days) of symptom onset or date of first positive test (asymptomatic). However, if a person within 3 months(90 days) of symptom onset or date of first positive test (asymptomatic) has or develops new symptoms consistentwith COVID-19 within 14 days of a new exposure to a person with suspected or confirmed COVID-19, they shouldconsult with a healthcare provider.

10 Consultation with infectious disease or infection control experts may be an alternative cause of the symptoms cannot be identified, retesting for SARS-CoV-2 infection may be warranted. Inthe absence of clinical evaluation to rule out SARS-CoV-2 reinfection, this person should be isolated following therecommendations person who had knownclose contactwith a confirmedCOVID-19 case shouldquarantine(exceptions below)for atleast 5 days from their last exposure and should get tested at least 5 days after exposure. If they are negative or areunable to get tested, they should continue to watch for symptoms and wear a mask around others through at leastday 10 from last exposure.