https://www.nytimes.com/2020/07/22/health/coronavirus-isolation-testing.html
Covid-19 Patients No Longer Need Tests to End Isolation (making Vaccines unnecessary)
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Covid-19 Patients No Longer Need Tests to End Isolation
Under new guidelines from the C.D.C.,
recovering coronavirus patients should be free to resume normal activity after 10 days, if they have no fever or other symptoms.
Donald G. McNeil Jr.
By Donald G. McNeil Jr.
July 22, 2020
Most Americans recovering from Covid-19 can come out of isolation without further testing to show they no longer carry the coronavirus, federal health officials said on Wednesday.
Instead, patients may be judged to have recovered if 10 days have passed since they first felt ill; they no longer have any symptoms, such as shortness of breath or diarrhea; and they have not had a fever for 24 hours without taking fever-reducing medicine.
The new recommendations are not rules but guidelines intended for patients, doctors and health policymakers. The revisions should help relieve the burden on the country’s testing system, the Centers for Disease Control and Prevention said.
Previously, one way to get out of isolation was to have two negative diagnostic tests, also called PCR tests, for the virus taken 24 hours apart. But now there are testing delays of up to two weeks in parts of the country, and numerous studies show that mildly ill people are almost never infectious 10 days after symptoms begin.
Public health experts generally agreed that the change was safe.
“This is anchored in evidence,” said Dr. Wafaa El-Sadr, professor of epidemiology at the Mailman School of Public Health at Columbia University. “I think it makes sense.”
For example, many nursing homes will not accept hospitalized elderly patients after they recover until they pass the two diagnostic tests. That has sometimes added weeks to these hospital stays for no medical reason, he said.
But the science has changed, and the situation in the United States is different. In this country, most people who are ill isolate themselves at home, even though that risks infecting their families.
Earlier isolation guidelines were more conservative. When the disease first broke out in China, all patients with the illness — even mild cases — were immediately moved away from their families for 14 days, and not released until they had two negative PCR tests.
