As your partner in health and safety, we are continuously monitoring regulatory updates that may affect your operations. See the CDC's latest COVID-19 updates and resources below.

Media release of “Opening America” resources

CDC aggregated resources (all previously reported in this daily update) aggregating decision trees and tools for resuming civic and commercial activities. Resources include:


Pandemic Planning Scenarios for Mathematic Modeling

CDC and Office of the Assistant Secretary for Preparedness and Response have developed 5 COVID-19 Pandemic Planning. Models developed using the data provided in the planning scenarios can help evaluate the potential effects of different community mitigation strategies (e.g., social distancing). The planning scenarios may also be useful to hospital administrators in assessing resource needs and can be used in conjunction with the COVID-19 Surge Tool.


Travelers Prohibited From Entry into the US

Several Presidential proclamations established restrictions on the entry of certain travelers into the US in an effort to help slow the spread of COVID-19. With specific exceptions, foreign nationals who have been in any of the following countries during the past 14 days may not enter the United States:

  • China
  • Iran
  • European Schengen Area
  • United Kingdom
  • Republic of Ireland

Exceptions do apply, and people meeting those exceptions will be allowed to enter through one of 13 airports.


Multisystem Inflammatory Syndrome in Children (MIS-C) Information for Parents

MIS-C is a condition in children where body parts can become inflamed included the heart, lungs, kidneys, brain, skin, eyes, or gastrointestinal organs. It seems to be related to same virus that causes COVID-19. Most children recover with medical care.

  • Symptoms include fever, abdominal pain, vomiting, diarrhea, neck pain, rash, bloodshot eyes, fatigue
  • Seek emergency care if trouble breathing, pain in chest that does not go away, new confusion, inability to wake or stay awake, bluish lips or face, severe abdominal pain
  • Best method to prevent MIS-C is to prevent child from getting COVID-19


How to Report Lab Data

Data collection is critical to the COVID-19 response.

  • All state public health labs and select large commercial labs that currently report directly to CDC should continue sending those data.
  • Hospital labs should submit their data via electronic message to state or large local health department
  • Standardized codes and case definitions are critical to aggregating data


Publications About COVID-19 for Labs

CDC posted the following studies and publications to assist labs in the processes:

Considerations for Restaurants and Bars

These guidelines are not to replace local and state health official recommendations. Transmission risks increasing as follows:

  • Lowest risk: Food service limited to drive-through, delivery, take-out, and curbside pick-up.
  • More risk: Drive-through, delivery, take-out, and curbside pick-up emphasized. On-site dining limited to outdoor seating. Seating capacity reduced to allow tables to be spaced at least 6 feet apart.
  • Even more risk: On-site dining with both indoor and outdoor seating. Seating capacity reduced to allow table to be spaced at least 6 feet apart.
  • Highest risk: On-site dining with both indoor and outdoor seating, seating capacity NOT reduced, tables NOT spaced at least 6 feet apart.


Consideration for Youth Sports and Programs

Administrators of programs are to consult with state and local health officials and make adjustments at the local level. Risk of COVID-19 spread increases as follows:

  • Lowest risk: Performing skill building drills or conditioning at home
  • Increasing risk: Team-based practice
  • More risk: Within-team competition
  • Even more risk: Full competition between teams from same local geographic area
  • Highest risk: Full competition between teams from different geographic areas

Administrators and coaches can assess risk based on the way sports are played, equipment is shared and are advised to consider:

  • Physical closeness of the players and length of time players are close to each other
  • Amount of necessary touching of shared equipment and gear (i.e. bats, racquets, water bottles, etc.)
  • Ability to engage in social distancing while not engaged in play (i.e. during practice, on the sideline)
  • Age of the athlete (older may be better able to follow directions for social distancing)
  • Team size
  • Travel


Children Schools, Camps and Care Centers

Additional guidance and infographics were released for supporting children’s schools, camps and care centers. The risk for COVID-19 spread increases in youth camp settings as follows:

  • Lowest risk: Small groups of campers stay together all day each day and are able to social distance without sharing objects. All campers from local geographic area.
  • More risk: Campers mix between groups but able to social distance, still from same geographic area
  • Even more risk: Campers mix between groups, do not social distance
  • Greatest risk: Campers mix between groups and are NOT from the local geographic area


Considerations for Institutes of Higher Education (IHE)

Administrators are to collaborate with state and local health officials and make use of these guiding principles for general settings:

  • Lowest risk: Faculty and students engage in virtual only learning options, activities and events
  • More risk: Small in-person classes, activities and events, individuals able to social distance, and do not share objects
  • Highest risk: Full-sized in-person classes, activities and events with inability to social distance and sharing materials, supplies, and other objects

For on-campus housing settings risk increases as follows:

  • Lowest risk: Residence halls are closed
  • More risk: Residence halls are open at lower capacity and shared spaces (kitchens & common areas) are closed
  • Highest risk: Residence halls are open at full capacity including shared spaces

Visiting Parks and Recreational Facilities

Released guide for visiting parks and recreational facilities. Recommendations are to:

  • Visit parks close to home
  • Prepare before the visit (check openings with local authorities/facility managers)
  • Stay at least 6 feet away from others
  • DO NOT visit parks if you are sick or recently exposed to COVID-19
  • DO NOT visit crowded parks
  • DO NOT use playgrounds
  • DO NOT participate in organized activities or sports


Department of Health and Human Services (HHS) Delivers Funding to Expand Testing Capacity for States, Territories, Tribes

HHS is providing $11B in new funding to support testing for COVID-19. Funding from the Paycheck Protection Program and Health Care Enhancement Act is designed to provide critical support to develop, purchase, administer, process, and analyze COVID-19 tests, conduct surveillance, trace contacts and related activities.


Framework for Healthcare Systems Providing Non-COVID-19 Clinical Care During the Pandemic

Updated strategies for non-COVID-19 healthcare to minimize chances for exposure with patients with confirmed or suspected COVID-19.

  • The prior recommendation that all elective procedures be postponed has been removed

Key considerations for performing non-COVID-19 clinical care during the COVID-19 pandemic, including potential for patient harm if care is deferred and level of community transmission, are summarized in the Framework for Healthcare Systems Providing Non-COVID-19 Clinical Care During the COVID-19 Pandemic.

COVID-19 Serology Surveillance Strategy

Serology (antibody) testing will be deployed for widespread pandemic surveillance. Serology testing uses blood and can indicate if somebody has previously been infected with the SARS-CoV-2 virus whether they showed symptoms or not. It may take 1-3 weeks after initial infection to show a positive test, so it is not a good measure to determine if an individual has been infected. CDC’s strategy to find how the virus is spreading through the US population. It is not known if the presence of antibodies (positive test) means immunity at this point. CDC will be gathering results in the following patters:

  • Large Scale Geographic where CDC will gather results from practitioners who may be sampling blood that was collected for other reasons (e.g. routine cholesterol test) to understand how the virus is spreading in a large area. Sampled individuals remain anonymous.
  • Community level surveys where public health practitioners may sample a population at a town or community level.
  • Special populations for example pregnant women or healthcare workers maybe sampled.


CDC Activities and Initiatives Supporting the COVID-19 Response and the President’s Plan for Opening America Up Again

Updated report on activities to support the reopening of America.

Updated Research Supporting the Use of Cloth Face Coverings for Asymptomatic or Pre-Symptomatic Individuals

The virus can spread between people interacting in close proximity. Seven published studies support the use of cloth face coverings. The studies are listed here:


Updated Checklist for Homeless Service Providers During Community Re-Opening

Checklists include:

  • Coordination with local and state health departments
  • Placing posters strategically to provide instruction on handwashing, cough etiquette, social distancing, etc.
  • Support staff regarding job stress and coping
  • Enact prevention strategies for clients and staff
  • Continue to connect clients to care
  • Continue additional precautions for clients and staff who are at higher risk for severe ill  

Guidance for Multisystem Inflammatory Syndrome in Children (MIS-C)*

In rare cases, patients under 21 years may have multiple organ inflammation weeks after SARS-CoV-2 infection. There are currently no specific drugs approved by the FDA therefore treatment is to focus on support and management of complications.

*MIS-C is referred to by ECDC as Pediatric Inflammatory Multisystem Syndrom or PIMS.


Updated Animal Testing Guidance and Recommendations for Priorities

Key points include:

  • Routine testing of animals for SARS-CoV-2 is not recommended.
  • The decision to test an animal (including companion animals, livestock, and wild or zoo animals) should be agreed upon using a One Health approach between appropriate local, state, and/or federal public health and animal health officials.
  • Veterinarians are strongly encouraged to rule out other, more common causes of illness in animals before considering SARS-CoV-2 testing.


Contact Tracing Training for Case Investigators Document

Outline takes participants through:

  • Identifying strategies to reduce the spread of COVID-19
  • Components of COVID-19 case investigation
  • Requirements for protecting health information
  • COVID-19 case investigation protocol
  • Application to real life scenarios

People Who Are at Higher Risk for Severe Illness

Updated list of conditions that are high risk for severe illness, in addition to previously listed conditions, the list now includes:

  • People with preexisting serious heart conditions
  • And added to examples of immunocompromised conditions; cancer treatment, smoking, bone marrow or organ transplantation, immune deficiencies, poorly controlled HIV or AIDS, prolonged use of corticosteroids and other immune weakening medications


FAQs for Wildland Firefighters

FAQs for wildland firefighters were added including guidance such as:

  • Isolate as a unit if possible
  • Allow for social distancing upon arrival to duty station for 14 days if possible
  • Encourage self-monitoring for symptoms, consider daily temperature checks and symptom screening
  • Many of the CDC’s COVID-19 Guidance for shared or congregate housing applies to fire camps


Financial Resources

Financial resources are being made available to support COVID-19 response. New funding added to already existing funding includes:

  • $10.25B to state, local and territorial health departments for detection, response and prevention through Paycheck Protection Program
  • $631M to 64 jurisdictions distributed through existing network of Epidemiology and Laboratory Capacity cooperative agreement through CARES Act


Downloadable Videos

Video library was updated to include or update content on:

  • Prevention and Symptoms (20 videos)
  • Nursing Home (1 video)
  • Public/Private sector (5 call recordings
  • Travel (7 videos)
  • Spanish (21 videos)
  • American Sign Language (18 videos)
  • Ad Council (3 videos)
  • CDC Briefing room (3 videos)


Schools and Child Care Programs

Decision tools for child care, youth programs and caps, and school reopening were posted along with other resources for k-12 schools to:

  • Plan, prepare and respond
  • FAQs for Administrators
  • Checklist for teachers & Parents

COVID-19 Testing by Laboratories: Q&A

FAQs for Labs were updated to include information on:

  • How to access lab testing
  • Specific instructions for test developers
  • Ordering supplies such as swabs, regents, PCR assays


CDC Environmental Health Practitioners Webpage

An information page targeting Environmental Health Practitioners was published. Topics include:

  • Management at congregate facilities and shelters
    • General population disaster shelters
    • Correctional and detention facilities
    • Retirement and independent living facilities
    • Childcare programs that remain open
    • Cooling centers
    • Cleaner Air shelters and spaces
    • Parks and recreational facilities
  • Cleaning and disinfection
    • Reopening guidance for public spaces, workplaces, businesses, schools, and
    • Community facilities
    • Households
  • Food safety
    • For grocery & food retail workers
    • Meat and poultry processing
    • Food poisoning prevention
  • Water Safety
    • Water & COVID-19 FAQs
    • Building water systems
    • Public pools, hot tubs, water playgrounds during COVID-19
  • Solid Waste & Debris
    • Lab waste
    • Environmental infection control


CDC Staffing Resources

New staffing resources were added to complement of human resources to assist local health departments with COVID-19 responses. A fact sheet illustrates organizations available to provide staffing support including:

  • Americorp
  • State Service Commission
  • CDC staffing
  • FEMA

Additional guidance is posted.


Contact Tracing

Contact tracing training, training plans, and digital tools were updated and released. A 64 page contact tracing plan template and guidance was published. Additional tools are provided for non-governmental organizations and academia.


Management of Healthcare Workers Exposed to or with Suspected or Confirmed COVID-19: Non-US Healthcare Settings

Updates were added to managing exposed healthcare workers in non-US healthcare settings. Includes a flow chart for management of healthcare workers with exposure.


Guidance on Unsheltered Homelessness and Coronavirus Disease 2019 (COVID-19) for Service Providers and Local Officials

CDC Provided update to interim guidance on people experiencing unsheltered homelessness. Changes include:

  • Emphasis on whole community approach
  • Clarification of outreach staff guidance
  • Clarification of encampment guidance


COVID-19 National Death Forecast Models

National Death Forecast models were updated.

Resource Page for Manufacturing Workers and Employers

Facilities are to develop infection control plans for continuing operations in the setting of COVID-19 and should:

  • Work directly with appropriate state and local public health officials and occupational safety and health professionals
  • Incorporate relevant aspects of CDC guidance, including but not limited to CDC’s Critical Infrastructure Guidance; and
  • Incorporate guidance from other authoritative sources or regulatory bodies as needed.

Workers exposure risk should be kept to a minimum, factors affecting risk in workplaces include:

  • Distance between workers
  • Duration of contact
  • Type of contact (droplet exposure and contact w/ contaminated surfaces)

Additional resources for employers are available on the page such as guidance for:

  • Cloth face coverings
  • Educational posters and materials
  • Cleaning and disinfection
  • Screening workers
  • Managing sick workers
  • PPE


List of Respirators Tested by the National Personal Protective Technology Laboratory

Various commercially available Filtering Facepieces were tested for efficiency by NIOSH standard testing procedure (STP) TEB-APR-STP-0059 and found minimum efficiency ranging from 11.2-99.83% and maximum ranging from 33.90-100%. A list showing specific products tested and associated efficiencies can be found here:


Spreadsheet Estimator Tool for COVID-19 Demand for Hospital Based Services

Download COVID-19Surge here, and FAQs can be found here:


FAQs for Healthcare Practitioners

Topics covered include:

  • Risk
  • Transmission
  • Testing and Diagnosis
  • Treatment and Management
  • Obstetrical Care
  • Drug Therapies
  • Patients with Asthma
  • Patients with Liver Disease
  • Patients with Hypertension
  • Waste Management


Pediatrics and Child Healthcare Updates

Highlights include:

  • It is suggested to maintain vaccinations, and reach out to children who have missed vaccinations due to quarantine.
  • Clinics should attempt to separate well baby/child check-ups from sick child care.
  • COVID-19 in children is generally mild where in one study of 2000 pediatric patients only 5% had severe symptoms and 0.6% had critical respiratory failure.


Updated Guidance on What To Do If Your Pet Gets Sick

  • If your pet tests positive, isolate the pet from everyone else, including other pets.
  • Do not wipe or bathe your pet with chemical disinfectants, alcohol, hydrogen peroxide, or any other products not approved for animal use.
  • Only a few pets have been confirmed to be infected with the virus that causes COVID-19. Some pets did not show any signs of illness, but those pets that did get sick all had mild disease that could be taken care of at home. None have died from the infection.
  • If you suspect COVID-19, call a veterinarian first.
  • Pets with confirmed infection with the virus that causes COVID-19 should be restricted to isolation in the home until a veterinarian or public health official has determined that they can be around other pets and people.

Factors to Consider When Planning to Purchase Respirators

Considerations for purchasing respirators from another country guidelines were issued by the CDC. During the current PPE shortage, products are on the market that do not meet FDA standard requirements, or the FDA’s Emergency Use Authorization. Three most common problems are:

  • Documents are altered so the Filtering Facepiece Respirators (FFR) appear to comply with a standard, but they do not.
  • Certifications marks are counterfeit
  • Manufactures’ names, logos, and model numbers are counterfeit
    Factors for purchasers
  • Evaluate the device, if possible, with samples for filtration, fit, head/harness design
  • Evaluate the manufacturer and seller to determine if devices tested in an ISO/IEC 17025 accredited lab, vet all contact information with dated photos and videos of the models being purchased, investigate the financial strength of US intermediary
  • Evaluate the contract: KN95 FFRs are approximately $2-$3/unit, if paying more likely overpaying, if paying less product may be suspect. (as of this printing 5/12/2020). Do no pre-pay. Establish provisions to protect your purchase such as financially guarantee the authenticity of the products.


Managing Workplace Fatigue

Tactics for workers and employers to manage workplace fatigue were issued by the CDC. Under regular circumstances adults need 7-9 hours of sleep per night, along with opportunities for rest while awake. Lacking these can lead to fatigue which increases risk for injury, deteriorating health, and effectiveness at job tasks. General strategies for workers:

  • Recognize in more stressful circumstances, more sleep may be needed to recover
  • Optimal sleep happens in a dark, cool quiet room
  • If it takes longer that 15 minutes to fall asleep, then set aside time before bedtime to aid relaxation (such as meditating, deep breathing, progressive muscle relaxation)
  • Before beginning a long stretch of shifts try “banking your sleep” by getting extra hours longer than typical
  • After a long stretch of shifts, it may take several days of extended sleep to recover
  • Avoid sunlight or bright lights 90 minutes before attempting sleep if possible
  • Naps of 90 minutes before working a night shift can reduce feeling tired at work
  • Eat healthy foods and stay physically active
  • Before going to sleep avoid foods and drinks that make sleeping more difficult such as alcohol, heavy meals, caffeine, nicotine.

General strategies for Employers:

  • Create culture of safety with clear communication between management and workers.
  • Recognize signs of fatigue (e.g. yawning, difficulty keeping eyes open, inability to concentrate)
    • The Epworth Sleepiness Scale is a short survey that can be posted for workers to quickly rate their fatigue.
    • Create a non-punitive method for reporting when workers or colleagues are too fatigued to work safely.
  • Develop a process to relieve a worker from their duties if too fatigued to work safely, such as these if possible:
    • Assign workers just starting their shifts safety critical tasks
    • Rotate workers or groups through tasks that are repetitive and/or strenuous (clean and disinfect between workers)
    • Schedule physically or mentally demanding workloads in shorter shifts and/or during day
  • Educate workers on sleep deprivation recognition and remedies
  • Allow adequate off-duty time to meeting obligations and sufficient rest and recovery
  • Rotating shift work should rotate forward
  • Avoid shifts of 12 hours if possible
  • Provide alternative transportation


Funeral Guidance for Individuals and Families

CDC Released funeral guidance for individuals and families. People continue to get exposed to COVID-19 at funerals by attendees who were not feeling sick. Considerations when making funeral arrangements:

  • People who have died form COVID-19 can be buried or cremated, no need to change the wishes of the deceased.
  • No need to delay funeral services due to COVID-19, unless scheduling with funeral service providers requires due to a large number of deaths.
  • There is currently no known risk associated with being in same room at a funeral service or visitation with the body of a deceased person who had COVID-19 after the body has been prepared for viewing.
  • Some traditional funeral practices that require touching the body may need to be changed.

Considerations for during the funeral:

  • Hold modified funerals by limiting attendance to a small number of immediate family members and friends, and an additional memorial service in the future when social distancing guidelines are less restrictive.
  • Attempt virtual funeral services, visitations, and memorial tributes by on-line video streaming if possible?
  • Hold services and gatherings in a large, well-ventilated area or outdoors, as circumstances and traditions allow
  • On-line guestbooks or memory books
  • Attendees should nod, bow, or wave instead of holding or shaking hands, hugging, or kissing
  • Space seating 6 feed apart for attendees who do not live in the same household
  • Those who are sick, or have a household member or close contact who is sick, or at higher risk of severe illness should NOT attend in person


Interim Laboratory Biosafety Guidelines

CDC Updated Lab Biosafety recommendations for point of care testing. Labs are to:

  • Perform site specific and activity specific risk assessments
  • Follow standard precautions (hand hygiene, PPE of lab coats, gowns, gloves, eye protection), routine lab practices for decontamination
  • Test in BioSafety Level 2 lab settings


Healthcare Infection Prevention and Control FAQs

CDC Healthcare Infection Prevention FAQs added recommendations for behavioral health and psychiatric hospitals. Facilities can tailor certain recommendations to their setting (i.e. not using alcohol-based hand sanitizer in drug and alcohol treatment facilities). Challenges and potential solutions on topics include cohorting, group therapy sessions, cloth face coverings, dining, and smoking.

CDC Guidance on Interpreting COVID-19 Test Results

Outlined testing for a current infection and interpreting the results:

  • Viral tests using swaps of the inside of the nose tell if there is a current infection of SARS-CoV-2, the virus that casus COVID-19.
  • Not everyone needs to be tested. The CDC has guidance for who should be tested, but decisions about testing are made by state and local health departments or healthcare providers.
  • If you have symptoms and want to get tested, call your healthcare provider first.
  • If you test positive, take protective steps as outlined on the CDC webpage.
  • If you test negative, you probably were not infected, but that does not mean you will not get sick. It is possible you were tested early in your infection, or you could be exposed later and develop the illness.

CDC Released Recommendations for the General Public as to When to Wear Gloves

Gloves should be worn:

  • When cleaning
  • When caring for someone who is sick
  • Be sure to wash hands directly after removing the gloves

Gloves are not necessarily protective from COVID-19 and therefore not needed outside of these two instances. (For example when using a shopping cart, or an ATM). Guidelines and recommendations for glove use in a healthcare or workplace settings will differ from the recommendations for the general public.

CDC Released Document Detailing CDC Activities and Initiatives Supporting the COVID-19 Response

Also includes the President’s plan for opening America up again. The document is a summary of efforts to date, resources developed and deployed, and the overarching strategy and criteria for a phased re-opening. Criteria and phases provided here.

CDC Released Key Resources for Leaders to Contain the Spread of COVID-19 During Reopening Activities

Provides guiding documents for:

  • Infection prevention and control
  • Laboratory capacity
  • Community mitigation
  • Surveillance and data analytics
  • Contact tracing
  • Staffing support

CDC Cruise Ship Crew Disembarkations Were Updated

Includes the following vessels:

  • Disney Wonder
  • Liberty of the Seas
  • Carnival Fantasy
  • Norwegian Escape
  • Norwegian Epic
  • Ociania Marina
  • Oceania Sirena
  • Norwegian Joy

CDC Released FAQs For All Laboratories

Includes special content for:

  • Accessing laboratory testing
  • Test developers
  • Content regarding serology (antibody testing)
  • Ordering supplies

CDC Released Guidance for What to Do If You Are Sick

Details were added to the guidance on what to do if you are sick including an infographic. A Self Checker link provides a quick decision tree on actions to be taken based on location, age, symptoms and exposure. Additional details for steps to prevent the spread if you are sick include:

  • Stay home except for medical care
  • Separate yourself from other people
  • Monitor symptoms
  • Call ahead before visiting your doctor
  • Wear cloth covering over your nose and mouth
  • Cover coughs and sneezes
  • Clean hands often
  • Avoid sharing personal household items
  • Clean all “high-touch” surfaces everyday
  • Use the decision tree on when to end home isolation

CDC Considerations for Public Pools, Hot Tubs, and Water Playgrounds

The CDC directs facility managers to make decisions to reopen collaboratively with local health officials.

These strategies can prevent the spread of COVID-19:

  • Promote hand hygiene and ensure adequate supplies of soap, hand sanitizer, paper towels, no-touch trash cans
  • Encourage wearing cloth face coverings BUT NOT WHILE IN THE WATER.
  • Educate staff patrons and swimmers to stay home if ill
  • Provide ample signage to educate on above topics, use PA system with regular announcements, make use of social media and web-pages for messaging

These strategies will clean and maintain a healthy environment:

  • Clean and disinfect frequently touched surfaces daily or more
  • Consult with the company or engineer that designed the aquatic venue to decide which EPA approved disinfectants are best.
  • Establish methods for disinfecting shared furniture, equipment, towels, clothing. Keep cleaned separate from contaminated
  • Ensure ventilation systems of indoor spaces operate properly. Increase outdoor air circulation as much as possible without posing safety risk.
  • Ensure water systems are safet to use after prolonged shutdown to minimize risk of legionnaires’ disease.
  • Modify deck layouts to ensure social distancing. Provide visual cues or barriers as guides for patrons.
  • Discourage sharing of equipment (kickboards, noodles, etc) with those they don’t live with

These are strategies to consider for operations of an aquatic venue:

  • Life saving or emergency evacuation activities are exceptions to 6 feet social distancing rule.
  • Protect vulnerable staff by offering telework. Limit staff and patrons from local area only if feasible. Make use of staggered or rotated shifts
  • Lifeguards to remain focused on water safety, not monitoring of handwashing, use of face coverings, etc.
  • Adhere to local orders/policy regarding number of people allowed at gatherings. Encourage staggered drop off, parents consider if their children are capable of maintaining social distance, limit nonessential visitors, volunteers and activities.
  • Provide staff training for communication methods, signs & symptoms, leave policies, isolation requirements, back up staffing plan.

CDC Released Refined Contact Tracing Training Plan

Topics covered include:

  • Boots on the ground foundational epidemiology
  • Contact Investigation Training
  • Ways to prevent the spread of COVID-19
  • Real-time legal response: Focus on quarantine, isolation, and other social distancing
  • Infection prevention and control in the household

CDC Released Guidance for Long Haul Truck Drivers

Steps include:

  • Maintaining social distance from truck stop attendants, store workers, dock workers, other truck drivers, anybody with symptoms. Avoid touching nose, mouth, eyes after contacting surfaces touched by others.
  • Make a plan with employer and family as to what to do if becoming symptomatic while on the road.
  • Limit exposure by
    • Limiting time spent outside of truck cab during fueling, loading and unloading
    • User electronic invoicing for fuel, deliveries, etc.
    • Use radio/phone to talk with dock managers or other drivers
    • Pack food, water & supplies to limit the number of stops
    • Keep truck well ventilated
  • Clean and disinfect high touch areas of the truck regularly (door handle, steering wheel, seat belt, turn signal, wiper controls, etc.)
  • If a third party must access the interior of truck (mechanic, other driver, inspector for example), request that the third party clean and disinfect before turning it back over.
  • Do not share tools or PPE such as hard hats, vests, safety glasses
  • Use pre-qualified truck stops or hotels identified by employer as having appropriate COVID-19 protections.
  • When team driving, wear cloth face coverings inside the truck and avoid sharing bedding in the sleeper berth.

CDC Decision Tool

CDC Updated Decision Tool for guidance in cleaning and disinfecting public spaces, workplaces, businesses, schools and homes. The tool continues the guidance of:

  • Develop a plan
  • Implement the plan
  • Maintain and revise

And clarifies the cleaning practices based on if the area is indoors, has been occupied in the past 7 days, is a frequently touched object, and if the object is porous or non-porous.

CDC Highlights FAQs from Cybersecurity and Infrastructure Security Agency (CISA)

CDC highlighted previously released guidance and FAQs from CISA for 16 Essential Critical Infrastructure Workers. There are 16 sectors considered critical: Communications, Chemical, Critical Manufacturing, Commercial Facilities, Dams, Defense Industrial Base, Emergency Services, Energy, Financial, Food and Agriculture, Government Facilities, Healthcare and Public Health, Information Technology, Nuclear Reactors, Materials and Waste, Transportation Systems, Water.

CDC Difference Between Quarantine and Isolation

  • Quarantine is used to keep someone who might have been exposed to COVID-19 away from others. Quarantine helps prevent spread of disease that can occur before a person knows they are sick or if they are infected with the virus without feeling symptoms. People in quarantine should stay home, separate themselves from others, monitor their health, and follow directions from their state or local health department.
  • Isolation is used to separate people infected with the virus (those who are sick with COVID-19 and those with no symptoms) from people who are not infected. People who are in isolation should stay home until it’s safe for them to be around others. In the home, anyone sick or infected should separate themselves from others by staying in a specific “sick room” or area and using a separate bathroom (if available).


CDC Air Travel Toolkit for Airline Partners

Toolkit includes messages, graphics and products to:

  • Support timely messaging to travelers and employees
  • Share CDC resources with airline partners
  • Help airline partners develop additional COVID-19 materials
  • Media includes Fact Sheets, PSAs, and sample social media posts, graphics for electronic messaging for Kiosks, printable posters.


CDC General FAQs

Topics include risk, transmission, testing, diagnostics, treatment for COVID-19.

A specialty section on waste management was added:

  • Wastewater and sewage companies do not need to take special precautions beyond standard precautions and basic hygiene.
  • Medical waste from facilities with COVID-19 is no different than waste coming from facilities without COVID-19 patients.


CDC Infection Prevention FAQs for Healthcare Practitioners

Topic include guidance on:

  • Environmental Services (Housekeeping) PPE requirements and the practice of waiting sufficient time based on the number of room air changes per hour.
  • PPE supply preservation methods
  • Performing nasopharyngeal swabs
  • Long term care facility processes and practices


CDC Updated Resources for Management of COVID-19 in Correctional and Detention Facilities

Includes PowerPoint training. Training provides specifics on PPE, employee and intake inmate screening, and strategies to achieve social distancing.


CDC Standardizing How COVID-19 Testing Data is Reported

CDC Suggestions for Employees Coping with Stress and Building Resilience

Topics include:

  • Recognizing symptoms of stress such as feeling irritation, anger, uncertaintaty, tired, sad, lacking motivation, trouble sleeping or trouble concentrating.
  • Common work-related factors such as fear of virus exposure, familial responsibilities, different workload, lack of access to tools & equipment, uncertainty about the future, technical difficulties with new communication tools, different workspace and/or work schedule.
  • Tips to build resilience:
    • Communicate with co-workers openly about stressors and identify solutions, remind about mental health resources in workplace such as EAP.
    • Identify things over which you do not control, identify resources available.
    • Develop a consistent daily routine if possible, including regular sleep schedules, set time to end work (if from home).
    • Remind self and others we all have a role to contribute and understanding the facts about COVID-19 and how to protect yourself and others.
    • Take breaks from consuming pandemic related news and social media.
    • Connect with others, check in with others.
    • Continue any current treatment for mental health conditions.

Links to multiple reputable help lines/chats are included in the post:


CDC Updated Recommendations and Priorities for Testing Suspected Cases

High Priority:

  • Hospitalized patients with symptoms.
  • Healthcare facility workers, workers in congregate living settings, and first responders with symptoms.
  • Residents in long-term care facilities or other congregate living settings, including prisons and shelters, with symptoms.


  • Persons with symptoms of potential COVID-19 infection, including: fever, cough, shortness of breath, chills, muscle pain, new loss of taste or smell, vomiting or diarrhea, and/or sore throat.
  • Persons without symptoms who are prioritized by health departments or clinicians, for any reason, including but not limited to: public health monitoring, sentinel surveillance, or screening of other asymptomatic individuals according to state and local plans.

Additionally, CDC updated recommendation to nucleic acid or antigen test to diagnose acute infection (not antibody testing).


CDC Cruise Ship Disembarkation Requirements

Compliance with CDC Requirements to Safely Disembark their Crew Members.


CDC FAQ for People with Liver Disease

In some cases, severe COVID-19 infections can appear to cause liver damage.


CDC Staffing Resources

Public Health Staffing Workforce to support return to economic activities are broadening:

  • CDC resources include contact tracing staffing, staffing guidance, COVID-19 Response Corps, COVID-19 Job Corps, training resources.
  • Additional non-profit organizations from the US Digital Response,, Medical Reserve Corps, YMCA.
  • Staffing agencies providing support include Generation USA, AllSTEM Connections, LevelUP Capital Solutions, Securitas Critical Infrastructure Services.

CDC Updated Web Page with FAQs for General Business

Topics include:

  • Handling suspected or confirmed cases of COVID-19 in the workplace, isolating employees immediately until meeting ‘discontinue home isolation’ criteria, and not requiring sick employees to provide a COVID-19 test result or healthcare provider’s note to validate the illness.
  • Reducing the spread such as erecting barriers to protect customers, cleaning and disinfecting surfaces, increasing physical distance between people, screening employees,
  • Promoting healthy operations by social distancing, drafting/updating non-punative “emergency sick leave” policies, manage meetings and conference to maintain social distancing
  • Cleaning and disinfection of the workplace instruction, and chemical usage, HVAC
  • Critical infrastructure and management/protection of essential employees.


CDC Released Contact Tracing Training and Guidance

Sample plan may be useful with large employers who have developed their own contact tracing teams/protocols. Content and learning objectives include:

  • Primary components of COVID-19 contact tracing
  • Requirements for protecting health information
  • COVID-19 contact tracing protocol

Toolkit for workers or volunteers with little or no experience conducting contact tracing found here.

In depth training materials contact tracing materials can be found here.


CDC Updates FAQs for Children and COVID-19

FAQs for Children and COVID-19 were updated to cover topics such as:

  • Children are at lower risk of severe illness
  • Strategies to keep your child healthy such as social distancing, hand hygiene, laundry guidance
  • Reminder that children under age 2 should not wear a cloth face covering or mask
  • Resources for talking with children about COVID-19 outbreaks
  • Managing activities and mental health while school’s out


CDC Updated Guidance for Caring for Someone Sick at Home

Guidance was updated for caring for someone sick at home to include:

  • Provide support and help cover basic needs such as pet care, grocery shopping/filling prescriptions
  • Treat symptoms with lots of fluid and rest
  • Watch for warning signs to escalate care if needed. Call 911 right away if caregivers observe difficulty breathing, persistent pain or pressure in the chest, new confusion or inability to wake up, bluish lips or face.
  • Caregivers are to limit contact, eat in separate rooms, avoid sharing personal items, wear face coverings and/or gloves and track their own health


CDC Released a Decision Memo

A decision memo guiding when to end isolation for persons with COVID-19 based on symptoms was released. Due to impracticality of continued testing during community transmission, there is a need to base end of isolation decisions on “time-since-illness-onset” and/or “time-since-recovery.”

  • Emerging evidence shows that viable COVID virus are no longer shed by most infected persons 10 days after the onset of symptoms.
  • Viable virus are unlikely to be shed from most infected persons 3 days after recovery (recover = no fever without medications)
  • It should be noted, these guidelines apply to the typical population and the isolation period will need to be longer for persons in high risk for serious illness


CDC Provided Guidance if a Pet or Service Animal Tests Positive for COVID-19:

  • If positive for the virus that causes COVID-19, isolate the pet from everyone else, including other pets.
  • Do not wipe or bathe pet with chemical disinfectants, alcohol, hydrogen peroxide, or any other products not approved for animal use.
  • Only a few pets have been confirmed to be infected with the virus that causes COVID-19. Some pets did not show any signs of illness, but those pets that did get sick all had mild disease that could be taken care of at home. None have died from the infection.
  • If suspected or confirmed COVID-19 infection, call a veterinarian.
  • Pets with confirmed infection with the virus that causes COVID-19 should be restricted to isolation in the home until a veterinarian or public health official has determined that they can be around other pets and people.

CDC Updates for Guidance to Dental Clinics to Reduce Non-Symptomatic Transmission

Steps include:

  • Implement source control (require facemasks or cloth face coverings) for everyone entering the dental setting (dental healthcare personnel [DHCP][ 1 ] and patients), regardless of whether they have COVID-19 symptoms in order to address asymptomatic and pre-symptomatic transmission.
  • Actively screen everyone on the spot for fever and symptoms of COVID-19 before they enter the dental setting.
  • Actively screen Dental Healthcare Personnel on the spot for fever and symptoms before every shift.

CDC Released Guidance for Veterinary Clinics’ Usage of PPE

Updates for guidance to Veterinary Clinics’ usage of PPE during animal care were released. The guidelines use a cautious approach and Veterinarians should be aware of the current shortage of PPE from high demand in human healthcare settings.

CDC Updated Resources for Community and Faith-Based Leaders

Resources for community and faith-based leaders were updated including:

  • A checklist for leaders & administrators
  • FAQs
  • Cleaning and disinfecting public spaces: everyday steps
  • Video describing the role of the community health worker in the Latino community


CDC Updated Mathematical Models for Projected COVID-19 Deaths

Mathematical models for projected COVID-19 deaths were updated. There are now 9 institutions generating models predicting numbers of deaths for the next 30 days. Individual states models are also available.

CDC Updated Guidance for Mail, Parcel, Food, and Grocery Delivery Drivers

Guidance for mail, parcel, food, and grocery delivery drivers was updated to educate this group of essential workers.

  • Primary mode of virus transmission is from person to person.
  • It may be possible that a person can become infected by touching a surface that has the virus on it and then touching their own mouth, nose, or eyes. However, this is not thought to be the main way the virus spreads.
  • Workers can protect themselves and others by
    • Stay home when sick
    • Wear a cloth face covering in public settings
    • Limit contact, maintain distance of 6 feet, do not share scanners, pens, tools with customers, do not touch face, if using machine washable gloves at the end of use store them for washing and then wash hands
    • Clean and disinfect high touch surfaces, pens, clipboards, electron signature pads
    • Exercise proper hand hygiene
      • Before, during and after food prep
      • Before eating
      • After using the toilet
      • After blowing your nose
      • Before and after work shifts, work breaks, making a delivery
      • After putting on, touching, or removing cloth face covering
      • After touching frequently touched surfaces such as doorbells or door handles
      • Before wearing and after removing cold-weather gloves
      • Before and after pumping gas


CDC Released Guidance for Cleaning and Disinfecting a Non-Emergency Vehicle

  • If transporting people with known or suspected COVID-19 infection N95 respirator and eye protection is recommended to be worn by the driver. Passenger should wear cloth face covering. Contact should be limited, and hand hygiene should be practices
  • At a minimum, clean & disinfect commonly touched surfaces at the beginning and end of each shift and between transporting passengers who are visibly sick.
  • Keep doors/windows open for adequate ventilation when cleaning with chemicals. Use of disposable gloves and gown for cleaning activities are recommended.
  • For hard non-porous surfaces inside the vehicle (such as arm rests, door handles, seat belt buckles) clean with detergent or soap & water if visibly dirty. Then disinfect using EPA registered Antimicrobial products, diluted household bleach solutions, or Alcohol solution of 70%.
  • For soft or porous surfaces such as fabric seats, remove any visible contamination, use EPA approved products that are compatible with soft surfaces.
  • Gloves and gown should be removed after cleaning, immediately followed by proper hand hygiene. If gown not available, work clothes or uniform worn during cleaning and disinfecting should be laundered using the warmest appropriate water setting and dry items completely.


CDC Clinical Tips for Healthcare Providers

Clinical tips for healthcare providers including specifics for:

  • Treatment and Prophylaxis: The NIH is providing guidance and updates on efficacy of drugs and therapeutics, there is currently no FDA approved post exposure treatment.
  • Symptoms and Diagnosis: Non-respiratory symptoms might appear before fever and lower respiratory tract symptoms. Children may have fever and cough at symptom onset as often as adult patients. CT scans should not be used to screen for COVID-19 or as a first-line test to diagnose COVID-19. CT should be used sparingly, reserved for hospitalized, symptomatic patients with specific clinical indications for CT.
  • Co-Infections in people with COVID-19 have been reported. Several patients with COVID-19 have been reported presenting with concurrent community-acquired bacterial pneumonia. Antibiotics are to be used appropriately.
  • Severe Illness: There is potential for some patients to rapidly deteriorate one week after illness onset, an average time to acute respiratory distress syndrome (ARDS) ranges from 8 to 12 days. Lymphopenia, neutrophilia, elevated serum alanine aminotransferase and aspartate aminotransferase levels, elevated lactate dehydrogenase, high CRP, and high ferritin levels may be associated with greater illness severity.


CDC Provides Change in Return to Work Criteria for Healthcare Providers

  • Changed the name of the ‘non-test-based strategy’ to the ‘symptom-based strategy’ for those with symptoms and the ‘time-based strategy’ for those without symptoms and updated these to extend the duration of exclusion from work to at least 10 days since symptoms first appeared. This update was made based on evidence suggesting a longer duration of cultural viral shedding and will be revised as additional evidence becomes available.
  • Based on this extension of the symptom-based and time-based strategies, language about the test-based strategy being preferred was removed.


CDC Genome Sequencing Effort

Genome sequencing effort being coordinated by the CDC is leveraging a network of clinical and public health laboratories, academic institutions and the private sectors. Goal is to generate information about the virus that will strengthen COVID-19 mitigation strategies.

CDC Issues Guidance Document and Decision Tool for Re-Opening Facilities

Includes guidance to:

  • Develop, implement, revise plan
  • Actions based on area characteristics such as
    • Indoor v. outdoor
    • Occupied within the last 7 days
    • Frequently touched surfaces/objects
    • Types of Materials in the space
  • Considerations for custodial staff exposure and PPE needs are to be included in the plan
  • Include mitigation strategies for communities in the re-opening plan


CDC Contact Tracing Guidance Was Released

Contact tracing is a critical disease control measure implemented by health authorities to prevent the spread. These key concepts were highlighted.

  • Contact tracing is a specialized skill, includes interviewing patients, educations of contacts, adherence to confidentiality, understanding of medical and disease processes
  • Time is of the essence when identifying contacts who may have been exposed to begin isolation to stop the spread
  • Contact tracing in co-housing or congregate living settings is a priority


CDC Provided Communication Tool Kit

Communication tool kit for domestic travel was provided for SMS, social media, even roadway signage is provided for groups involved in educating travelers.


CDC Updated Downloadable Video Training Library

Video topics include:

  • Prevention & Symptoms (19 videos)
  • Travel (8 videos)
  • In Spanish (14 videos)
  • In American Sign Language (18 videos)
  • Recorded calls for public/private sector organizations (5 recordings)
  • Recorded CDC briefings (3 recordings)


Updates Were Made to Alternative Disinfection Methods of Cleaning and Disinfecting a Building

Updates add to the existing guidance on how to clean & disinfect typical buildings including soft surfaces, electronics, surfaces, outdoor areas, laundering. Alternative Disinfection Methods:

  • Efficacy of alternative disinfection methods, such as ultrasonic waves, high intensity UV radiation and LED blue light against COVID-19 virus is not routinely reviewed by the EPA, therefore EPA cannot confirm whether, or under what circumstances such products might be effective against the spread of COVID-19
  • CDC does not recommend the use of sanitizing tunnels. There is no evidence that they are effective and chemicals used could cause skin, eyey, or respiratory irritation or damage
  • CDC only recommends use of the surface disinfectants identified on List Nexternal icon against the virus that causes COVID-19.


Updates Made to Timing for Cleaning and Disinfecting a Community Facility

Timing and location of cleaning and disinfection of surfaces

At a school, daycare center, office, or other facility that does not house people overnight:

  • Close off areas visited by the ill persons. Open outside doors and windows and use ventilating fans to increase air circulation in the area. Wait 24 hours or as long as practical before beginning cleaning and disinfection.
  • Cleaning staff should clean and disinfect all areas used by the ill persons, focusing especially on frequently touched surfaces.

At a facility that does house people overnight:

  • Follow Interim Guidance for US Institutions of Higher Education on working with state and local health officials to isolate ill persons and provide temporary housing as needed.
  • Close off areas visited by the ill persons. Open outside doors and windows and use ventilating fans to increase air circulation in the area. Wait 24 hours or as long as practical before beginning cleaning and disinfection.
  • In areas where ill persons are being housed in isolation, follow Interim Guidance for Environmental Cleaning and Disinfection for US Households with Suspected or Confirmed Coronavirus Disease 2019. This includes focusing on cleaning and disinfecting common areas where staff/others providing services may come into contact with ill persons but reducing cleaning and disinfection of bedrooms/bathrooms used by ill persons to as-needed.
  • In areas where ill persons have visited or used, continue routine cleaning and disinfection as in this guidance.
  • If it has been more than 7 days since the person with suspected/confirmed COVID-19 visited or used the facility, additional cleaning and disinfection is not necessary.


Care for Breastfeeding Women and Infants

  • It is unknown do not know whether mothers with COVID-19 can transmit the virus via breast milk, but the limited data available suggest this is not likely to be a source of transmission.
  • Whether and how to start or continue breastfeeding should be determined by the mother in coordination with her family and healthcare providers.
  • A mother with confirmed COVID-19 should be counseled to take all possible precautions to avoid spreading the virus to her infant, including hand hygiene and wearing a cloth face covering.
  • Breastfeeding mothers working in high exposure risk settings such as healthcare or first responders, ideally would be provided a private, non-bathroom space for milk expression, which are then cleaned and disinfected between uses.


CDC Updated COVID-19 Symptoms

The COVID-19 symptom set was updated indicating people with COVID-19 have had a wide range of symptoms reported – ranging from mild symptoms to severe illness.

Symptoms may appear 2-14 days after exposure to the virus. People with these symptoms or combinations of symptoms may have COVID-19:

  • Cough
  • Shortness of breath or difficulty breathing

Or at least two of these symptoms:

  • Fever
  • Chills
  • Repeated shaking with chills
  • Muscle pain
  • Headache
  • Sore throat
  • New loss of taste or smell

People should seek medical attention immediately if they have any of these emergency warning signs:

  • Trouble breathing
  • Persistent pain or pressure in the chest
  • New confusion or inability to arouse
  • Bluish lips or face

*This list is not all-inclusive.


Meat and Poultry Processing Workers and Employers

Meat & Poultry processing facilities are considered essential workers and have experienced multiple outbreaks in the US. Meat and poultry processing employers are to follow the previously issued Guidance on preparing workplaces for COVID-19, in addition to the recommendations below.

  • A qualified workplace coordinator should be identified who will be responsible for COVID-19 assessment and control planning.
  • Configure workstations and communal work environments so the alignment of workers should follow recommendations for distancing and/or partitioning (See image).
  • Heating, ventilation, and A/C should minimize workers’ exposure by avoiding directing blowing air from one worker to another. Personal fans should be removed. Heat hazards need to be kept in consideration with these changes in air flow.
  • Handwashing stations or hand sanitors should be placed at multiple locations. Touch free options are optimal.
  • Add clock-in / clock-out stations that are spaced apart if possible.
  • Arrange breakrooms or identify alternative areas to accommodate adequate spacing for breaks and lunches.
  • A list of work practices includes; single file spaced lines, stagger schedules and break-times, mark floors to remind social distancing, discourage carpooling, educating workers on symptom recognition and reporting and encourage cloth face coverings.
  • Employers should consider screening workers before entry into the workplace based on a written program developed in coordination with local public health authorities and may include:
    • Verbal symptom check
    • Temperature check by trained personnel who wear proper PPE
  • Issue PPE per OSHA standards

CDC meat processing workstations medium


Guidance for Dental Settings During the COVID-19 Response

Dental Settings guidance was revised and updated as follows:

  • To address asymptomatic and pre-symptomatic transmission, implement source control (require facemasks or cloth face coverings) for everyone entering the dental setting (dental healthcare personnel [DHCP] and patients), regardless of whether they have COVID-19 symptoms.
  • Actively screen everyone on the spot for fever and symptoms of COVID-19 before they enter the dental setting.
  • Actively screen DHCP on the spot for fever and symptoms before every shift.


The CDC COVID-19 Response Corps is supplying staffing for local health authorities in three main ways:

  • CDC’s COVID-19 Response Corps. The COVID-19 Response Corps is a nationwide community-focused initiative to provide surge staffing and resources in state, tribal, local, and territorial health departments on the frontlines of the fight against COVID-19.
  • CDC Foundation: COVID-19 Corps Jobs. In support of CDC’S COVID-19 Response Corps, the CDC Foundation is urgently recruiting candidates for critical positions nationwide. Interested parties should go to the
  • CDC Foundation website and apply directly for positions.
  • COVID-19 Training Resources. CDC’s COVID-19 trainings are available on TRAIN, a national learning network that provides training opportunities to professionals who protect and improve the public’s health.
  • Imbedded field staff are distributed as indicated in the map below.

CDC Field Staff Embedded in Health Agencies



Therapeutic options for clinicians were released in summary.

Currently, there are no drugs or other therapeutics approved by the US Food and Drug Administration to prevent or treat COVID-19. Clinical management at this time includes:

  • Infection Prevention and Control
  • Supportive care including supplemental oxygen
  • Mechanical ventilatory support when indicated
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