COVID-19 no longer means five days in isolation, CDC says

FILE - McKenna Shuster works on a linocut art print which she does as a hobby in her home on the last night of a two-week self-isolation while recovering from symptoms of COVID-19 in Somerville, Mass., on March 26, 2020. On Friday, March 1, 2024, the Centers for Disease Control and Prevention said people who test positive for COVID-19 no longer need to stay in isolation for five days. The CDC changed its longstanding guidance, saying that people can return to work or regular activities if their symptoms are mild and improving and it's been a day since they've had a fever. (AP Photo/David Goldman, File)
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NEW YORK — Americans who test positive for COVID-19 no longer need to stay in isolation for five days, U.S. health officials announced Friday.

The Centers for Disease Control and Prevention changed its longstanding guidance, saying that people can return to work or regular activities if their symptoms are mild and improving and it’s been a day since they’ve had a fever.

The change comes at a time when COVID-19 is no longer the public health menace it once was. It dropped from being the nation’s third leading cause of death early in the pandemic to 10th last year.

Most people have some degree of immunity to the coronavirus from vaccinations or from infections. And many people are not following the five-day isolation guidance anyway, some experts say.

“Our goal here is to continue to protect those at risk for severe illness while also reassuring folks that these recommendation are simple, clear, easy to understand, and can be followed,” said Dr. Mandy Cohen, the CDC’s director,

However, some experts worry that the change may increase the risk of infection for older people and others who are more vulnerable to getting seriously ill.

COVID-19 is not causing as many hospitalizations and deaths as it did in the first years of the pandemic. The change is an effort to streamline recommendations so they are similar to longstanding recommendations for flu and other respiratory viruses. Many people with a runny nose, cough or other symptoms aren’t testing to distinguish whether it’s COVID-19, flu, or something else, officials say.

It may not be as stringent, but the guidance emphasizes that all people with respiratory symptoms should stay home while they are sick, said Dr. David Margolius, the head of Cleveland’s health department.

People are likely still contagious when they test positive, and that hasn’t changed, said Jennifer Nuzzo, director of the Pandemic Center at Brown University’s School of Public Health.

“What has changed is how much COVID is harming us as a population,” Nuzzo said.