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SUMMARY: See this health alert for
UpdatedGuidance from the Washington State Department of Health (DOH)
DOH has provided the following guidance for COVID-19 isolation and quarantine for health care workers and first responders that is new since our last updateon March 19. It also reiterates prior guidance forcases and contacts in the community. This transmission does NOT include DOHupdates on testing and PPE that were already covered in that March 19 update. Pleasereview topics relevant to your area(s) of care and responsibility.
Background: COVID-19 disease should be considered in patients with fever, cough, or shortness of breath without other explanation. As the COVID-19 outbreak continues to rapidly evolve, it is important to ensure local health jurisdictions and clinical partners are aware of current operational guidance on: testing, personal protective equipment, isolation, and quarantine. A summary of current recommendations is provided below. In addition, links are provided to documents for more detailed guidance on each topic. Isolation –Health Care Workers and First Responders: Health Care Workers (HCW) and First Responders (FR) with confirmed COVID-19 should not return to work until at least 3 days (72 hours) have passed since recovery. Recovery is defined as: 1. Resolution of fever without the use of fever-reducing medications AND improvement in respiratory symptoms (e.g., cough, shortness of breath) AND2. at least 7 days have passed since symptoms first appeared Healthcare workers and first responders can return to work provided they:
Guidance document for health care workers and first responders: https://www.doh.wa.gov/Portals/1/Documents/1600/coronavirus/HealthCareworkerReturn2Work.pdf
Quarantine– Healthcare workers and First Responders:
Asymptomatic HCWs and FRs with High orMedium Risk Exposures to a known case of COVID-19 should actively monitor forsymptoms consistent with COVID-19 infection but can return to work providedthey:
Guidance document: https://www.doh.wa.gov/Portals/1/Documents/1600/coronavirus/HealthCareworkerReturn2Work.pdf
Isolation –General Public:
Consistentwith CDC guidelines, WA DOH recommends persons with COVID-19 who have symptoms and were directed to care for themselvesat home may discontinue home isolation under the following conditions:
Guidance document for general public:
Quarantine– General Public:
Individuals who have been in closecontact with someone with COVID-19 should monitor their health for fever, coughand shortness of breath during the 14 days after the last day they were inclose contact with the sick person with COVID-19. They should not go to work orschool, and should avoid public places for 14 days.
Guidance document: https://www.doh.wa.gov/Portals/1/Documents/1600/coronavirus/COVIDexposed.pdf