New Guidance about COVID Isolation and Quarantine
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/ Categories: WELLNESS, 2021

New Guidance about COVID Isolation and Quarantine

Earlier this week, the Centers for Disease Control and Prevention (CDC) reduced the recommended duration of quarantine after exposure to someone with COVID-19 and isolation after testing positive for the virus. Extensive experience over time has shown that most transmission of the virus to other people occurs 1 - 2 days after an individual is exposed and up to 3 days after symptoms begin.

A large proportion of the population will be exposed to the omicron variant over the next several weeks. We should expect a progressively negative impact on some services, including public transportation, retail stores, sporting events, and school activities. Such disruptions were evident when thousands of flights were canceled over the Christmas holiday due to flight crews requiring isolation after testing positive for the virus. The CDC’s new guidance aims to preserve safety while decreasing unnecessary disruption to our daily lives.

Here’s what you need to know:

After Exposure

  • Those who are vaccinated and if eligible, boosted, do not need to quarantine after exposure. They should, however, wear a mask around others for 10 days.
  • People who are unvaccinated or vaccinated but have not received a booster when eligible should quarantine for 5 days after exposure to someone with COVID-19, followed by 5 days of mask use when around others, including in the home with family.
  • All individuals who are exposed should get a COVID-19 test 5 days after their exposure.

(Click image to download or print)

After Testing Positive

  • An infected person may end isolation after 5 days after the positive test if symptoms are resolving and they are not experiencing a fever.
  • If the symptoms persist after isolating for 5 days, the person should remain isolated until symptoms are resolving and they are not experiencing a fever.
  • The individual may then return to normal activities but should wear a mask around others for 5 more days.

(Click image to download or print. Note that the chart below is on page 2 of the PDF.)


Anyone with Symptoms

Individuals with symptoms, regardless of whether they have been exposed, should quarantine until a negative test confirms the symptoms are not due to COVID-19.

Nearly every one of us will encounter the virus at some point in the near future. We can take solace in knowing that those who are vaccinated and boosted are much more likely to be asymptomatic or experience or cold- and flu-type symptoms rather than severe illness requiring hospitalization.

Trey Dobson, MD, is the chief medical officer at Southwestern Vermont Medical Center in Bennington and an emergency medicine physician at Dartmouth-Hitchcock Health. 

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SVMC Creates Virtual Waiting Room to Encourage Distancing

BENNINGTON, VT—May 29, 2020—Starting Monday, many people who need in-person appointments at Southwestern Vermont Health Care's (SVHC) hospital and clinics will no longer need to use traditional waiting rooms. A virtual system created by the hospital allows patients to call 802-447-5000 when they arrive in the parking lot and receive a text message when their provider is ready to see them.

SVMC's outpatient and inpatient surgeries and diagnostic services, like those for imaging and laboratory work, have resumed with enhanced safety protocols per the directive of Governor Phil Scott. The health system's emergency department, ExpressCare, emergency surgical services, and most of its primary and specialty practices remained open during the pandemic.

"SVHC has provided safe, high-quality care throughout the pandemic." Said Thomas A. Dee, FACHE, Southwestern Vermont Health Care’s (SVHC) president and CEO. "Innovation has been an important part of providing care during these extraordinary times and this new program decreases the number of people in our waiting rooms and allows them to stay the recommended 6 feet apart or more."

In order to use the virtual waiting room, patients must be able to wait in their vehicle and have a charged cell phone with them. They will receive the virtual waiting room telephone number during their appointment-reminder telephone call. Signs outside the building and at the respiratory check-in stations inside the main hospital and medical office building entrances will also include the number to call.

Patients simply call the number when they arrive in the parking lot and wait in their cars. When the provider is ready to see them, they will receive a text message alert to indicate that they should come in.

"We love that we can use the same technology that most people carry with them to help people stay socially distanced," said Gail Balch, RN, who directs information technology at SVMC. "It's through innovations like this one that we are able to resume services safely and ensure patients receive the care they need."

Hospital and clinic staff anticipate that the new program will allow greater distance between people who must use traditional waiting rooms, including those who walked or took public transportation to their appointment and those who do not have a cell phone.

Additional safety protocols indicate that all patients should arrive to the hospital or clinic with their own cloth face covering. Face coverings must be worn over the mouth and nose for the entire duration of patients' visits. Patients should also come alone, unless they absolutely need assistance from a loved one.

For questions about how to resume or initiate elective care, call your primary care provider or the specialist directly. For a list of providers, visit svhealthcare.org/physician-directory.

Patients with cough or shortness of breath or any two of the following—fever, chills, muscle pain, headache, sore throat, or new loss of taste or smell—should contact their primary care provider or the COVID-19 Informational Hotline at 802-440-8844 before arriving to either their provider’s office or the hospital. For a detailed list of safety protocols, frequently asked questions, visitor guidelines, and COVID-19 information, visit svhealthcare.org.

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