Onondaga County Health Department Updated Guidance for COVID-19 Isolation and Quarantine

Adopted from guidance issued from New York State Department of Health and Centers for Disease Control and Prevention

The Onondaga County Health Department released updated COVID-19 guidance for isolation and quarantine as a result of numerous updates to recommendations and guidance from the New York State Department of Health and the Centers for Disease Control and Prevention.

Isolation for the General Population

Isolation keeps someone who is infected with COVID-19 away from others. Anyone who tests positive for COVID-19 regardless of vaccination status must isolate.

  • Isolate for 5 days (where day 0 is the day symptoms started, or day you test positive if asymptomatic).
  • If you have remained symptom-free or if symptoms are resolving, you can end isolation after 5 days. (Loss of taste and smell may persist for weeks or months after recovery and should not delay the end of isolation).
  • If you continue to have fever or your other symptoms have not improved after 5 days of isolation, you should wait to end your isolation until you are fever-free for 24 hours without the use of fever-reducing medication and your other symptoms have improved.
  • You should continue to wear a well-fitting mask around others at home and in public for 5 additional days (day 6 through day 10) after the end of your 5-day isolation period.
  • If you are moderately to severely immunocompromised, isolate for 10 days.
  • Individuals not able to wear mask should isolate for 10 days.

Quarantine for the General Population

Quarantine keeps someone who was exposed to COVID-19 away from others. If you have been in close contact with someone with COVID-19, quarantine as follows, where day 0 is the last date of exposure:

  • If not fully vaccinated* or fully vaccinated and eligible for a booster but not yet boosted, quarantine for 5 days and wear a well-fitting mask while around others for an additional 5 days.
  • If fully vaccinated and boosted* (with the booster at least 2 weeks before the first date of exposure) or fully vaccinated and not yet eligible for a booster, no quarantine is required.
  • If you have recovered from COVID-19 in the last 90 days, no quarantine is required.
  • You should wear a well-fitting mask around others for 10 days from the date of your exposure.
  • If possible, get tested at day 5. If you test positive, isolate according to the guidance above.
  • If symptoms appear, quarantine and seek testing. In this situation, quarantine would end when the test is negative. If testing is not done, isolate according to the guidance above.

Updated guidance is available at http://www.ongov.net/health/documents/IsolationQuarantineGuidance.pdf

These update applies to all people currently in isolation and quarantine.

The updated attestation forms for self-release from COVID-19 isolation and quarantine are available at:

The Onondaga County COVID-19 website is being updated as quickly as possible to reflect the changes.

Vaccination Definitions for Quarantine Determinations:

Fully Vaccinated:

  • You are considered fully vaccinated two weeks after your second dose of Pfizer or Moderna vaccine, or two weeks after a single dose of the Johnson & Johnson vaccine and

Fully Vaccinated and Boosted:

  • You are fully vaccinated as defined above, and
  • You received the booster dose at least 2 weeks before the first date of exposure

Vaccine Eligibility:

  • Ages 5-11: Two doses of Pfizer (21 days apart); these ages are not eligible for a booster.
  • Ages 12-17: Two doses of Pfizer (21 days apart); booster 5 months after second dose.
  • Ages 18+: Two doses of Pfizer (21 days apart); booster 5 months after second dose OR
  • Two doses of Moderna (28 days apart); booster 6 months after second dose OR
  • Single dose of Johnson & Johnson; booster 2 months after single dose

Additional Dose for Some Immunocompromised People:

Some moderately or severely immunocompromised people ages 5+ should get a third dose of vaccine to be considered fully vaccinated. If you are eligible, you should get this additional dose 28 days after your second dose of Pfizer or Moderna vaccine and before you get a booster shot. Consult with your healthcare provider for further guidance.

Special Populations

K-12 Schools

Same isolation and quarantine guidelines as for the general population above.

High-Risk Congregate Settings (correctional, cruise ships, shelters, etc.):

CDC recommends a 10-day quarantine for residents, regardless of vaccination and booster status.

During periods of critical staffing shortages, facilities may follow the NYSDOH guidance issued December

24, 2021 regarding staff returning to work to ensure continuity of operations.

NYSDOH guidance issued December

Healthcare Workers 

See NYSDOH Interim Advisory on Return-to-Work Protocols for Personnel with SARS-CoV-2 Infection or Exposure to SARS-CoV-2 in Healthcare Settings issued 1-4-22

 Childcare Settings 

  • Staff and children in childcare settings who are infected or exposed should follow isolation and quarantine guidelines for the general population for their day-to-day activities in the community, but should not return to the childcare setting until after day 10 (where day 0 is the day of symptom onset day or positive test if asymptomatic, or last day of exposure to a positive case).
  • In childcare settings that provide school-aged care, school-aged children may return to the school-age program when they meet requirements for release from isolation or quarantine outlined in the updated isolation and quarantine guidance ONLY if the childcare program provides a separate classroom for school-aged children that follows K-12 regulations (spacing, mask wearing, etc.)