On December 2, 2020, the Centers for Disease Control and Prevention (CDC) released new options for public health authorities to consider for establishing quarantine time frames for contacts of persons with SARS-CoV-2. A list of known testing sites in Illinois is available athttp://dph.illinois.gov/testing. Schools must continue to provide remote learning to any student who is under isolation for COVID-19 based on the State Superintendents Remote Learning Declaration. "url": ", Illinois Department of Public Health Adopts CDC Recommendations for Isolation and Quarantine, Behavioral Risk Factor Surveillance System, Pregnancy Risk Assessment Monitoring System, https://dph.illinois.gov/covid19/testing.html, Grant Accountability and Transparency (GATA). On September 21, 2021. This serves as general guidance and does not address every possible isolation or quarantine question or scenario. Monitor your symptoms closely and seek medical care early if symptoms become severe. Partially vaccinated refers to a person who has only received 1 dose of the 2-dose vaccine series or is less than 2 weeks following receipt of the last dose of the 1- or 2-dose vaccine series. Letter to IDPH and ISBE Dr. Tom Lind JAN 03, 2022 Dear Dr. Ayala & Dr. Ezike, We are writing seeking an explanation for the ISBE and the IDPH's latest decision to adopt the CDC's newest recommendations for isolation and quarantine for the "general public" but carving public schools out as not being included in the "general public . Click here to review the full details on these new options. If you do not have these resources, contact your local health department for assistance. Update: Release from Isolation/Quarantine letter from the local health departments is not required to return to school other forms of communication including phone, email, and fax are acceptable or any other process implemented by the local health department. Domestic or International traveler is fully vaccinated. If you are unable to avoid close contact, you should stay in quarantine until day 14 from when the person with COVID-19 became eligible to be cleared from their own isolation. If symptoms worsen or continue and you need to seek medical care, call your healthcare provider in advance, or 9-1-1 in an emergency, and let them know you are a close contact to a person with confirmed COVID-19. International traveler is fully vaccinated. Isolation and TBP: 20 days for discontinuation, must be fever free (without fever-reducing medication) and symptoms improving for at least 24 hours. Find your nearest vaccination location at. People who are up to date with COVID-19 vaccines are at low risk of severe infection, hospitalization, and death. Schools should promote equitable access to vaccination. If COVID-19 illness develops, use the ten-day isolation period3 guidance for a COVID-19 case from the onset date. Text TALK to 552020 or HABLAR for service in Spanish to the same number 552020. In Illinois,The Department of Public Health has supreme authority over declaring new or modifying existing quarantines. Alert Message: Anyone, 6 months of age and older, is eligible to receive the COVID-19 vaccine. Local health departments will also be able to see details about cases so they can identify any potential clusters or outbreaks and can request those cases be transferred from the Surge Center for further contact tracing. Please use the zip code searchable schedule at www.biometricimpressions.com or call 630-532-5922 for locations/hours. The vaccination guidance applies to COVID-19 vaccines currently authorized for emergency use by the Food and Drug Administration: Pfizer-BioNTech, Moderna, and Johnson and Johnson (J&J)/Janssen). You must stay in quarantine for the entire 14-day period. Work releases will be requested from the IDPH system. WARNING: Site will be down from 8-12PM CT. INFORMATION: Il.gov is a great site to visit. endstream endobj startxref For release after 10 days, must be fever-free (without fever-reducing meds) and have improvement in symptoms for at least 24 hours. DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations. % DSBlank Release from Quarantine letter (if received from their LHD) provided by the parent/guardian or staff member, LHD notification via phone, secure email or fax to the school OR other process . Quarantine of close contacts of the case. Recommendation: We recommend modifying your exclusion protocols to address this clarification. The IDPH has also updated its COVID-19 Interim Exclusion Guidance and Decision Tree for Symptomatic Individuals in Pre-K, K-12 Schools and Day Care Programs. Recommendation: We recommend reviewing and potentially modifying your self-certification forms to address this change. These prevention measures can reduce that strain and avoid crisis. We are seeing a higher number of new infections each day than we have seen at any time throughout the entire pandemic. Vaccination is currently the leading public health prevention strategy to prevent adverse outcomes related to COVID-19. WARNING: Site will be down from 8-12PM CT. INFORMATION: Il.gov is a great site to visit. You will need to remain home for at least 10 days from the onset of symptoms; additionally, you must have been at least 24 hours with no fever (without using medication to reduce your temperature) and your respiratory symptoms are better. Ensure access to diagnostic testing for close contacts and those exposed, and screening during outbreaks and for high-risk activities or before/after large events, Promote staying up to date with all routine vaccinations, Implement policies that encourage students and staff to stay home when sick, Reinforce proper hand hygiene and respiratory etiquette, Utilize proper cleaning and disinfection procedures. COVID-19 (Division) Preparation Plan and Emergency Contact List (3/18/20) Biometric Impressions statewide offices and mobile services will remain operating daily as normal. If Nicki was in close contact with Dana, however, Nicki does not need to quarantine unless Dana tests positive or Nicki becomes symptomatic. Health care personnel and other specific groups and setting should continue to follow their respective guidance. Schools should balance risk of COVID-19 with educational, social, and mental health outcomes when deciding which prevention strategies to put in place. As of Dec. 28, the IDPH began sending an auto message to all positive cases. The CDC currently recommends a quarantine period of 14 days. An "early release from quarantine" letter has been added to SalesForce that can be provided at the discretion of the local health department with details on when a person can be released based on the date of last exposure. For release after 10 days, must be fever-free (without fever-reducing meds) and have improvement in symptoms for at least 24 hours. High touch surfaces include counters, tabletops, doorknobs, bathroom fixtures, toilets, phones, keyboards, tables, and bedside tables. 2022-01-07 LAWRENCEVILLE The Illinois Department of Public Health has released the most up to date information regarding contact tracing, work release letters, isolation and quarantine as the amount of local residents who are COVID-19 positive continues to increase across Lawrence County. Individuals who have received two doses of either Moderna or Pfizer-BioNTech, or one dose of Johnson & Johnson, as well as their booster do not need to quarantine after close contact with a case, but should wear a mask for 10 days after the exposure. On February 25, 2022, the CDC released a new framework to monitor the level of COVID-19 in communities that includes hospitalizations, hospital capacity, and cases. The initial outgoing text will read: IDPH COVID: There is important info for you. The CDC also recommended reducing quarantine from 10 days to 5 days for those who are close contacts to a COVID-19 case and have no symptoms, but individuals should You can use this form to request a release from quarantine 515-281-7689 www.idph.state.ia.us Department of Public Health Promoting and protecting the health of Iowans. hb```_l@(pW Hj. However, the following options to shorten quarantine are acceptable alternatives: Due to the risk of severe illness and congregate transmission, IDPH recommends the full 14-day quarantine period rather than the shortened options described above in congregate living settings with vulnerable populations, such as skilled care and correctional facilities. szCyq@%J -`L1]L23adku{=FlJG|N3-p-c." ,4P6ff`Q v_`H],1@ * Person more than 90 days past COVID-19 infection who is exposed to an active COVID-19 case. }/^obW._>?= Bn/^^=ywg6*~]|5Xvl6G+Dq/>s>i/z'k/._Oo. Gk%;_=/;RbX#i7;( T*T&%##Zeo,68{/c Regardless of vaccination status, individuals following release from 5 days of isolation/quarantine, should do the following: Avoid people who are immunocompromised or at high risk for severe disease, and nursing homes and other high-risk settings, at least until 10 days after onset date or specimen collection IDPH will be updating specific guidance documents in the coming days. h{oW Close contact with a case is defined as living in the same house as a case, being an intimate partner of a case, being a caregiver of a case, or being within 6 feet of a case for longer than 15 minutes. ( ECWd) -. For individuals who require a return-to-work letter, the Illinois Department of Public Health (IDPH) has provided a fillable PDF letter for convenience: Self Attested Return to Work Letter [IDPH] Information for UIUC Staff & Students UIUC's COVID-19 web page Campus Testing Locations Illinois App Using Illinois App for Building AccessIllinois App IDPH has released a statement mostly agreeing with CDC's option of reducing quarantine for close contacts; however, they do not recommend that the quarantine end after day 7 with a negative RT-PCR test for children in daycares or K-12 schools. Consideration for High-Risk Activities, including screening testing as described above, or consider temporarily stopping these activities to control an outbreak. Clarification: Contacts of a close contact of someone with COVID-19 do not need to quarantine unless the close contact becomes positive. If there is close contact with a person with COVID-19 (being within 6 feet for more than 15 minutes or touching body fluids or secretions without using the appropriate precautions), the 14-day quarantine period will have to restart. You can view the new site at www.dph.illinois.gov.www.dph.illinois.gov. More information is available at https://www.cdc.gov/coronavirus/2019-ncov/php/reinfection.html2Fully vaccinated refers to a person who is 2 weeks following receipt of the second dose in a 2-dose series, or 2 weeks following receipt of 1 dose of a single-dose vaccine. Close Contacts of the Traveler: Quarantine depends on determination of case status of the traveler. Illinoisans can dial1-800-889-3931twenty-four hours a day, seven days a week or emailDPH.SICK@ILLINOIS.GOV. Traveler will be required to test negative prior to boarding return flight to U.S. Local health department (LHD) must authorize. Alert Message: Anyone, 6 months of age and older, is eligible to receive the COVID-19 vaccine. CDC Healthcare Worker Return to Work Guidance (IDPH recommends using the non-test strategy discussed in this document) CDC's What to do if You Are Sick (IDPH recommends the non-test based strategy discussed in this document) Letter template for LTC resident diagnosed with COVID-19 Letter template for LTC staff diagnosed with COVID-19 If traveler has COVID-19, the close contacts should quarantine as per COVID-19 quarantine recommendations. public health approach to safely reopen our state. "@context": "http://schema.org", Follow public health guidance for isolation and quarantine precautions. In other words, if Dana is in close contact with Tom and Tom tests positive, Dana must quarantine. General isolation guidance: https://www.cdc.gov/coronavirus/2019-ncov/hcp/duration-isolation.html General quarantine guidance: https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/quarantine.html and https://www.cdc.gov/coronavirus/2019-ncov/science/science-briefs/scientific-brief-options-to-reduce-quarantine.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fmore%2Fscientific-brief-options-to-reduce-quarantine.html Reinfection: https://www.cdc.gov/coronavirus/2019-ncov/hcp/duration-isolation.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fcommunity%2Fstrategy-discontinue-isolation.html#Annex and https://www.cdc.gov/coronavirus/2019-ncov/hcp/faq.html#Testing,-Isolation,-and-Quarantine-for-Persons-Who-Have-Recovered-from-Previous-SARS-CoV-2-Infection Vaccinated: https://www.cdc.gov/coronavirus/2019-ncov/vaccines/fully-vaccinated-guidance.html Travel: https://www.cdc.gov/coronavirus/2019-ncov/travelers/testing-international-air-travelers.html and https://www.cdc.gov/coronavirus/2019-ncov/travelers/ Long-term care: https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-after-vaccination.html. If a person develops symptoms, they should immediately quarantine until a negative test confirms symptoms are not caused by COVID-19. Do not use public transportation, ride shares or taxis. Face Coverings and PPE On December 2, 2020, the Centers for Disease Control and Prevention (CDC) released new options for public health authorities to consider for establishing quarantine time frames for contacts of persons with SARS-CoV-2. Cases, or people with COVID-19, can be contagious 48 hours before they have symptoms, when they have symptoms, or even if they are not Early childhood education programs may also consider layering prevention strategies, such as masking, when close contact occurs, such as during feeding and diapering young children and infants. The Illinois Department of Public Health (IDPH) and Illinois State Board of Education (ISBE) have updated this joint summary, fully adopting the Centers for Disease Control and Prevention (CDC) Operational Guidance for K-12 Schools and Early Care and Education Programs to Support Safe In-Person Learning (updated as of August 11, 2022). SPRINGFIELD As we head into 2022, the Illinois Department of Public Health (IDPH) is working to centralize COVID-19 contact tracing efforts in order to get information about isolation and identifying close contacts to infected individuals as soon as possible during times when cases are surging, and to decrease the burden on local health departments across the state. What Expect When Getting Vaccinated Guidance, Long-term care Frequently Asked Questions, Guidance for Pre-K-12 Schools and Day Care Programs for Addressing COVID-19, Multisystem Inflammatory Syndrome in Children, Long Term Care COVID-19 Facility Level Data, Governor Pritzker's Executive Orders and Rules, Multisystem Inflammatory Syndrome Children, Guidance on the Use of Masks by the General Public, Private Laboratory COVID-19 Testing Options for Illinois Long-term Care Facilities, Long-Term Care COVID-19 Testing Requirements, Modifications for Other Long-Term Care Facilities and Programs, additional clarification for healthcare workers, https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/index.html, National Center for Missing and Exploited Children, Grant Accountability and Transparency (GATA). Any letters would need to be obtained from the IDPH Surge Center. COVID-19 symptoms include cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat or loss of taste or smell. Some persons may need to isolate for a longer period, an infectious disease physician will help determine if this needed. Recommendation:Steer clear of Tom and continue working closely with your local health department to assist with identifying close contacts of positive cases. These quarantine instructions are for people who live in the same household or have had close contact with someone with Coronavirus Disease 2019, COVID-19. If you have purchased Franczeks protocols, look for our update shortly. If reinfection is confirmed or remains suspected, case should remain under isolation precautions as described above (10 days for most cases). Quarantine as described for COVID-19 close contacts. (TBP) or quarantine can still receive visitors. We summarize below the key updates and provide recommendations from our Franczek team for each issue: Update: Symptoms require exclusion only when they are new and not attributed to allergies or a pre-existing condition. Additionally, exclusion for symptoms of abdominal pain or fatigue is only required when the symptom is from an unknown cause. Medical notes should be provided by licensed healthcare providers. Cases, or people with COVID-19, can be contagious 48 hours before they have symptoms, when they have symptoms, or even if they are not showing symptoms. 1Possible reinfection is defined as an individual has detectable SARS-CoV-2 RNA 90 days since first SARS-CoV-2 infection. Schools should also consider implementing screening testing for high-risk activities, such as indoor sports and extracurricular activities, when students are returning from breaks, and for those serving students who are at high risk for getting very sick with COVID-19. See the IDPH website for guidance for the general public: . If you are 65 years and older, pregnant, or have a health condition such as heart disease, lung disease, diabetes, kidney disease, or a weakened immune system, you are at higher risk of more serious illness or complications. For contact tracing purposes, IDPH has modified SalesForce to accommodate these changes. Cover your coughs and sneezes with a tissue. WARNING: Site will be down from 8-12PM CT. INFORMATION: Il.gov is a great site to visit. Testing and medical evaluation recommended. Persons who are immunocompromised should be encouraged to wear a mask or respirator that provides greater protection. "@type": "NewsArticle", Return to Work Letters No Longer Required: With the shortened isolation and quarantine periods, . The agencies also recommend contract tracing and isolation of those with suspected or confirmed Covid-19, and quarantine for those who have had close contact with the infected individual. A CDC press release on December 27, 2021, announced a reduction in the isolation periods for. Follow label instructions for household cleaning and disinfectant sprays or wipes used to ensure effectiveness. When calling, patients will be asked to opt in for an interview. Individuals being released It may turn out that you are not infected but it is too soon to tell. The CDC currently recommends a quarantine period of 14 days. If you are able to tolerate the mask (i.e., if it doesnt cause more difficulty breathing), wear your cloth face covering or a mask provided by your provider. Do not go to work, school, or public areas. Individuals who call the number in the text will be considered as opting in for an interview. Strategies for Everyday Operations. hbbd```b``^"WbLb`y`0,.fkHv90) "`=D^w$c! v;XD)J / 6C8E8.T#\t$&FX='300 t Under certain situations, case-by-case evaluation may be needed to determine infectiousness and need for isolation and quarantine given other available data. 1f@mv?S(dVs!^oNLEel`A+++'bHgY,l,.>YL|og2abw;Y]Y%A{dJY(q=g~{iRu crVT9\J\==? Health care personnel and other specific groups and setting should continue to follow their respective guidance. Medical contraindication to wearing a face covering must be documented by a healthcare provider. Alert Message: Anyone, 6 months of age and older, is eligible to receive the COVID-19 vaccine. Quarantine/Isolation Guidance: CDC streamlines COVID-19 guidance on 8-12-22 and advises individuals to still follow state guidance. To embed, copy and paste the code into your website or blog: Your first step to building a free, personalized, morning email brief covering pertinent authors and topics on JD Supra: [HOT] Read Latest COVID-19 Guidance, All Aspects [SCHEDULE] Upcoming COVID-19 Webinars & Online Programs, [GUIDANCE] COVID-19 and Force Majeure Considerations, [GUIDANCE] COVID-19 and Employer Liability Issues. Quarantine of close contacts if reinfection of case is suspected or confirmed. Isolation determined on a case-by-case basis. If you develop symptoms, you may have COVID-19 and you should follow the Home Isolation Instructions. Post-Vaccination Considerations for School Employees, Decision Tree for Symptomatic Individuals in Pre-K, K-12 Schools and DayCare Programs, Behavioral Risk Factor Surveillance System, Pregnancy Risk Assessment Monitoring System, Operational Guidance for K-12 Schools and Early Care and Education Programs to Support Safe In-Person Learning, COVID-19 Interim Guidance For Schools Decision Tree for Evaluating Symptomatic Individuals from Pre-K-12 Schools, factors that indicate higher transmission risk, Grant Accountability and Transparency (GATA). You are being asked to quarantine because you have been exposed to a person with COVID-19. health departments must authorize early release from quarantine. . 448 0 obj <> endobj IDPH is adopting CDC guidance on shortening isolation and quarantine periods for COVID-19 for the general public starting on December 30, 2021. An "early release from quarantine" letter has been added to SalesForce that can be provided at the discretion of the local health department with details on when a person can be released based on the date of last exposure. All residents that test positive or have experienced a recent exposure are asked to act responsibly and follow the Centers for Disease Controls recommendations to protect yourself, your family, frontline healthcare workers and the community. Further, local public health authorities determine and establish quarantine options for their jurisdictions and may decide to continue using a 14-day period and/or shortened options for certain lower risk close contacts. Stay in a specific room and away from other people in your home as much as possible. Recommendation: We recommend contacting your local health department to confirm the process they intend to implement. Symptoms of COVID-19 include: fever, chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of smell or taste, sore throat, congestion or runny nose, nausea, vomitting and diarrhea. Individuals released from quarantine with a negative lab result are responsible for obtaining the negative RT-PCR result for requireddocumentation. COVID-19 cases will receive a text message from IDPH. Individuals being released Identified as a possible COVID-19 reinfection1at >90 days since last infection. Must be asymptomatic and continue to monitor for COVID-19 symptoms for 14 days after last exposure. Clear face coverings (that cover the nose and wrap around the face) can be utilized by certain individuals when cloth face coverings are not feasible. On December 2, 2020, the Centers for Disease Control and Prevention (CDC) released new options for public health authorities to consider for establishing quarantine time frames for contacts of persons with SARS-CoV-2. Schools should continue to follow the IDPH COVID-19 School Guidance for children who have received the primary vaccination series and are not eligible for booster doses after 6 months. If you continue to live with and/or care for the person with COVID-19, the quarantine guidance is as follows: You must restrict activities and limit all movements that may put you in contact with others during the quarantine period. SPRINGFIELD - The Illinois Department of Public Health (IDPH) is adopting the Centers for Disease Control and Prevention's (CDC) recommendation to reduce the number of days for isolation and quarantine for the general public. Isolation and TBP for 10 days. Body fluids or secretions include sweat, saliva, sputum, nasal mucus, vomit, urine or diarrhea. Schools and local health departments should exercise their longstanding authority, including as described in the Communicable Disease Code and according to schools infectious disease policies, to address all infectious disease cases among students and staff. In a release, IDPH said the CDC also recommended reducing quarantine from 10 days to 5 days for those who are in close contact to a COVID-19 case and have no symptoms, but individuals should . Testing locations can be found at https://dph.illinois.gov/covid19/testing.html, including information on the days and hours for free Community-based Testing Sites. In all Community Levels, staff and students with COVID-19-like symptoms or a positive test, should wear a mask around others. Also, clean and disinfect any surfaces that may have body fluids on them. Domestic or international traveler is unvaccinated or is partially vaccinated. These recommendations apply to all individuals, including those who are unvaccinated or are not boosted even though they are eligible. %PDF-1.6 % The Illinois Department of Public Health has released the most up to date information regarding contact tracing, work release letters, isolation and quarantine as the amount of local residents who are COVID-19 positive continues to increase across Crawford County. Please reference the links provided and contact the local health department with additional questions. Unvaccinated or partially vaccinated close contacts to the case should be quarantined if the suspected case tests positive for SARS-CoV-2. As of Jan. 13, all cases will be handled through the IDPH Surge Center. LAWRENCEVILLE The Illinois Department of Public Health has released the most up to date information regarding contact tracing, work release letters, isolation and quarantine as the amount of local residents who are COVID-19 positive continues to increase across Lawrence County. Click here to review the full details on these new options. Infection unlikely due to immunity from previous infection. Continue reading for more information. This page is intended for administrators and staff from schools and daycares in suburban Cook County. "url": ", Illinois Department of Public Health Centralizing COVID-19 Contact Tracing, Behavioral Risk Factor Surveillance System, Pregnancy Risk Assessment Monitoring System, Grant Accountability and Transparency (GATA). For those that test positive and do not receive all call, it does not mean that you are free from quarantine or isolation. While most confirmed cases will be traced through the State Contact Tracing Surge Center, local health departments will continue to respond to cases in high-risk settings, including congregate facilities. IDPH has already adopted CDCs updated guidance for health care personnel issued last week. Asymptomatic but tests positive within 90 days of last COVID-19 infection. There have been scams associated with COVID-19 and contact tracing so I want people to know that IDPH COVID will be issuing text messages to newly identified cases.. Stay home. Masking for those testing positive for COVID-19 when returning, for those with suspect or known exposure to a COVID-19 case, in health care settings, and for those that choose to wear a mask (universal masking is recommended by CDC when Community Levels are high). minimizing contact with persons at increased risk for severe illness, including vulnerable and congregate populations. The following is an overview of this weeks updates and recommendations for school leaders based on the new guidance. Schools also are encouraged to follow the CDCs best practices for all infectious diseases to keep students home if ill and use testing to confirm or rule out COVID-19 and other infection. The following topics were addressed in the updated FAQ on September 9, 2020: IDPH also updated its Exclusion Guidance on September 10, 2020. IDPH is monitoring key indicators to identify early but significant increases of COVID-19 transmission in Illinois, potentially signifying resurgence. COVID-19 Interim Exclusion Guidance and Decision Tree for Symptomatic Individuals in Pre-K, K-12 Schools and Day Care Programs, U.S. Supreme Court Rules Highly Compensated Daily Rate Employees Entitled to Overtime under FLSA, Hiring for the 2023-24 School Year: New Faiths Law Employment History Review Requirements to Significantly Impact Onboarding Process, Illinois Supreme Court Doubles Down on Liability for BIPA Claims, Clear and Present Danger Law Enforcement Portal Administrator Agreement, Illinois Supreme Court Opens Door for More Actions Under BIPA, Persons who are asymptomatic during the 14 day quarantine period do. A county board of health should be created with responsibility for control of contagious diseases, including the use of quarantine for areas within the county not incorporated. minimizing contact with persons at increased risk for severe illness, including vulnerable and congregate populations. { Does not apply to K-12 school-aged persons or daycares. persons with COVID-19 and a reduction in the quarantine period for those who are close. Community levels can help schools and local health departments, as well as individuals, make decisions based on their local context and their unique needs. Further, local public health authorities determine and establish quarantine options for their jurisdictions and may decide to continue using a 14-day period and/or shortened options for certain lower risk close contacts. Identified as a COVID-19 case and has severe illness or immunocompromising condition. The local health department will make the final determination on isolation and /or quarantine requirements. Close contacts who develop symptoms should isolate away from others and seek medical evaluation and testing for COVID-19. endstream endobj 188 0 obj <>stream 486 0 obj <>/Filter/FlateDecode/ID[<044DBDC1B0F290489BD0B0AF0E3BAFA5><9E07C6697DFFE245A3B104DB62946B7D>]/Index[448 74]/Info 447 0 R/Length 157/Prev 364459/Root 449 0 R/Size 522/Type/XRef/W[1 3 1]>>stream Since you are a close contact of a case, please follow these steps to help prevent COVID-19 from spreading in your home or in your community.