December 9, 2020 Updated Quarantine Recommendations in Pennsylvania On December 4, the Pennsylvania Department of Health updated their quarantine recommendations for individuals who have been exposed to COVID-19. These recommendations have been updated in accordance with the Centers for Disease Control and Prevention’s updated guidelines that include options to reduce the quarantine period. These recommendations are subject to change. Important Note This guidance does not apply to healthcare or congregate settings. Patients and residents in healthcare settings who have been exposed to COVID-19 should be treated as per healthcare guidance outlined in PA-HAN-526 or its successor. Staff working in a healthcare setting who are exposed to COVID-19 should follow guidance outlined in PA-HAN-510 or its successor. See page three of this document for more information. About Quarantine is used to separate someone who might have been exposed to COVID-19 away from others. While individuals in quarantine may or may not develop illness, quarantine helps prevent the spread of disease that can occur before a person knows they have the virus. Any quarantine shorter than 14 days balances reduced burden to the individual under quarantine against a small possibility of increasing the spread of the virus. While a shortened quarantine period may increase the public’s willingness to adhere to public health recommendations, the overall reduction in transmission and increased compliance will require evaluation; not only in terms of compliance with quarantine and contact tracing activities, but also for any potential negative impacts such as post-quarantine transmission. The most protective recommended quarantine period remains at 14 days post exposure. How Does Quarantine Work? Quarantine begins one day after a person has been last exposed to someone with COVID-19 who is infectious. For individuals with COVID-19 who are unable to isolate themselves from their household members, the household members’ quarantine period begins when the case is no longer infectious. For information on infectious periods, please refer to PA-HAN-518. Quarantine Length In accordance with recommendations and research from the CDC, the Pennsylvania Department of Health recommends the following quarantine periods: Option 1: Complete a full 14-day quarantine period which would begin the day after you last came into contact with someone diagnosed with COVID-19 who is infectious. This option is the most protective and poses the lowest risk for post-quarantine transmission of the virus. Other options should only be considered if this option causes an undue burden. Option 2: Individuals can end their quarantine period after Day 10 without testing if no symptoms have been reported during daily monitoring. However, individuals should continue to monitor their symptoms until Day 14. Option 3: Individuals can end their quarantine period after Day 7 if they complete a COVID-19 test on Day 5 (or later), receive a negative test result within 48 hours before the time of planned quarantine discontinuation, and exhibit no symptoms during the quarantine period. Quarantine cannot be ended earlier than Day 8. COVID-19 tests completed before Day 5 of quarantine will not be sufficient to allow quarantine to end early. Testing for the purpose of earlier discontinuation of quarantine should only be considered if it will have no impact on community diagnostic testing. Testing of symptomatic individuals seeking evaluation for infection must be prioritized. Additional Criteria Individuals can discontinue their quarantine periods in accordance with any of the options above only if the following criteria are also met: no clinical evidence of COVID-19 has been elicited by daily symptom monitoring during the entirety of quarantine up tot he time at which quarantine is discontinued; daily symptom monitoring continues through quarantine Day 14; and, individuals are counseled regarding the need to adhere strictly through Day 14 after exposure to all recommended non-pharmaceutical interventions (masking, physical distancing, etc.). If any symptoms develop, individuals should immediately self-isolate and contact the Department of Health at 1.877.724.3258, their local health department, or their healthcare provider to report this change in clinical status. More Information For more information, read the full Health Alert document. For questions, call your local health department or 1.877.724.3258. This information has been provided by the Pennsylvania Department of Health.