VDH Algorithm for Evaluating a Child with COVID-19 ...

1 Keep Child home. Call your healthcare provider. Notify the the Child had close contact** in the past 14 days with someone with COV ID -19?Test for COVID-19 . Isolate/quarantine# at PARENTS AND GUARDIANSFOR HEALTHCARE PROVIDERSFOR SCHOOLS AND Child CARE FACILITIESYESNONOVDH Algorithm for Evaluating a Child with COVID-19 Symptoms or Exposure [This Algorithm is for diagnostic purposes, and should not be used for screening testing] to School and/or Child CareContinue Normal ActivitiesIf quarantining and no symptoms develop, Child may return to school and/or Child care on Day 6.

2 # Symptoms new or unusual for the childSymptoms new or unusual for the childSymptoms usual for the Child ( , allergies, migraines, asthma) or caused by a known diagnosis ( , ear infection, strep throat)Other explanation for symptoms ( , chronic condition or known diagnosis)Send home until at least 24 hours fever-free without fever-reducing medicinesHas the Child had close contact** in the past 14 days with someone with COV ID -19?Seek care as per usual fever present, stay home until at least 24 hours fever-free without fever-reducing medicines Testing Refer to the CDC testing website for the recommended timing of testing and other details.

3 **Close contact means having a possible exposure to someone with COVID-19 . Learn more here. There are some exceptions for students in K-12 from others. Send home. If no clinical evaluation, see Return section presentIf no testing or clinical evaluation the past 14 days, has there been known close contact** with a person with known or suspected COVID-19 ?Te s t (and/or evaluate clinically) for at present (whether or not they had close contact**)Isolate at home for 5 days. Return on Day 6 if symptoms improve and no fever for 24 hours without fever-reducing medicine.

4 Close contacts should quarantine.#Participate in Test to Stay or quarantine at home for 5 d ays.#If quarantining and no symptoms develop, return on Day 6. If symptoms develop, isolate for 5 days and quarantine close contacts.# After 5-day isolation, if no fever for at least 24 hours and symptoms have improved, Child may return to school and/or Child care on Day 6. No symptoms but had close contact** Isolate at home for 5 days, counting date of symptom onset (or date of positive test if no symptoms) as Day 0. Close contacts should quarantine.#If symptoms develop, retest as soon as possible.

5 Isolate at home for 5 days after symptom onset (Day 0). Close contacts should quarantine.# If no symptoms, participate in Test to Stay or quarantine for 5 days after last exposure (Day 0).# If symptoms present, isolate for 5 days after symptom onset (Day 0). Consider alternate diagnoses. Once symptoms have improved and Child has no fever for at least 24 hours without fever-reducing medicine, allow return to school/ Child care. RETURN TO SCHOOL AND Child CARE2/2/2022Is your Child sick with symptom(s) of COVID-19 *?Does a Child have symptom(s) of COVID-19 * at school/ Child care?

6 Clinical Evaluation for Children with Symptoms of COVID-19 *( )YESNONON egative for COV ID -19 Positive test or diagnosis for COV ID -19 Negative for COVID-19 YESYESYESYES*Symptoms of COVID-19 includefever ( F) or chills, fatigue (more tired than usual), headache, muscle aches, cough, nasal congestion or runny nose, new loss of taste or smell, sore throat, shortness of breath or difficulty breathing, abdominal pain, diarrhea, nausea or vomiting, new onset of poor appetite or poor #Stay home (quarantine) until it is safe to be around others. dhose who have no symptoms and are up to date with COVID-19 accines or reco ered ro COVID-19 in the past 9 days do not need to uarantine a ter ed posure Students ages 12-17 years who completed their primary series but are not yet boosted are not up to date with their vaccines, but can forgo quarantine.

7 Everyone with close contact exposure should wear a mask for 10 days, monitor for symptoms, and follow other advice. If able to follow strict mask use for Days who are unable to do so (including children under 2 years old) should extend to 10 days at