NEW! Updated isolation and quarantine guidance document and flowchart now available.
On January 6, 2022 the Onondaga County Health Department released updated COVID-19 guidance for isolation and quarantine as a result of numerous recent updates to recommendations and guidance from the New York State Department of Health and the Centers for Disease Control and Prevention. The guidance is being continuously updated.

Self-Attestation for Release from Isolation and Quarantine (updated 1-6-22)
The recent rise in cases across the state and in Onondaga County has caused a delay in the case investigation process. If you test positive, immediately isolate yourself and notify your close contacts and your workplace or school. When you have met the requirements for release from isolation or quarantine, you may complete a self-attestation form as legal documentation for your isolation or quarantine and for New York Paid Family Leave COVID-19 claims:

Attestation Form for Isolation:  English | Spanish
Attestation Form for Quarantine:  English | Spanish

These forms are for your own use, DO NOT submit them to the Health Department. If you do not have access to a printer, email bdccovid19@ongov.net or call 315-435-3236 for a paper form.

Isolation
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).
  • You can end isolation after 5 days if you have remained symptom-free OR if symptoms are resolving and you are fever-free for 24 hours without the use of fever-reducing medication. (Loss of taste and smell may persist for weeks or months after recovery and should not delay the end of isolation.)
  • If your 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.
  • Wear a well-fitting mask around other people at home and in public for 10 days (where day 0 is the day symptoms started, or day you test positive if asymptomatic).
  • If you are moderately to severely immunocompromised, isolate for 10 days.
  • Individuals not able to wear mask should isolate for 10 days.
  • Avoid people who are immunocompromised or at high risk for severe disease, and nursing homes and other high-risk settings, until after at least 10 days.


Quarantine
Quarantine keeps someone who was exposed to COVID-19 away from others. The following guidance is for anyone who has been in close contact with someone with COVID-19:

  • If you are not fully vaccinated or fully vaccinated and eligible for a booster but not yet boosted, quarantine for 5 days, where day 0 is the last date of exposure.
    • Fully vaccinated K-12 students, teachers, and staff who are eligible for but not yet received a booster may attend school and ride the bus (no extracurricular/after-school activities) and remain in quarantine outside of school.
  • If you are fully vaccinated and not yet eligible for a booster, no quarantine is required.
  • If you are fully vaccinated and received the booster dose at least 2 weeks before the first date of exposure, no quarantine is required. 
  • If you have recovered from COVID-19 in the last 90 days, no quarantine is required.

Regardless of the need to quarantine, anyone who has been exposed to COVID-19 should:

  • Wear a well-fitting mask around other people at home and in public for 10 days (where day 0 is the last day of 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.
  • Avoid people who are immunocompromised or at high risk for severe disease, and nursing homes and other high-risk settings, until after at least 10 days.


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
  • You are not yet eligible for a booster


Fully Vaccinated and Boosted

  • You are fully vaccinated as defined above, and
  • Two weeks have passed since you received the booster 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.


Vaccine Recommendations

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); Pfizer 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 5 months after second dose OR
Single dose of Johnson & Johnson; booster 2 months after single dose

 

Special Populations

K-12 Schools
The same isolation and quarantine guidelines apply to schools as for the general population above with the exception of the close contact definition excluding students who were between 3 to 6 feet with proper mask-wearing.

NYSDOH guidance issued 1-10-22 allows fully vaccinated individuals (students, teachers, and staff), who have been exposed to an individual with COVID-19 to continue to attend or work at school, regardless of booster status, while quarantined outside of school. Continued attendance applies only to participation in classroom activities and taking the bus to and from school.

Childcare Settings
Staff and children in childcare settings should follow the isolation and quarantine release guidelines for the general population, but should not return to the childcare setting until after day 10 (where day 0 is the day of symptom onset, day of positive test if asymptomatic, or last day of exposure to a positive case).

  • In childcare settings that provide school-aged childcare, school-aged children who have been released from isolation or quarantine may return to the school-age program before 10 days ONLY if the program provides a separate classroom for school-aged children and the program follows K-12 regulations (spacing, mask-wearing, etc.).
  • During a critical staffing shortage, childcare programs may allow staff who have been released from their isolation or quarantine to return to work before 10 days if they meet the criteria outlined in the NYSDOH Return to Work Guidance issued 12-24-21.

High-Risk Congregate Settings
These include corrections, shelters, group homes, or other residential care settings.

  • Residents must quarantine for 10 days, regardless of vaccination status.
  • Staff should follow the isolation and quarantine release guidelines for the general population, but should not return to work until after day 10 (where day 0 is the day of symptom onset, day of positive test if asymptomatic, or last day of exposure to a positive case).
  • During a critical staffing shortage, congregate settings may allow staff who have been released from their isolation or quarantine to return to work before 10 days if they meet the criteria outlined in the NYSDOH Return to Work Guidance issued 12-24-21.

Healthcare Settings
Healthcare settings should follow NYSDOH guidance for healthcare personnel return to work issued on December 24, 2021 and January 4, 2022.