Months after introducing the "Community levels" framework for COVID prevention strategies the CDC has finally updated its guidance for child care. On the one hand they finally acknowledge that the value of masking may be limited in this population. On the other hand they are doubling down on 10 day quarantines for children who cannot yet be vaccinated, which makes me want to scream. It should be 10 day quarantines for everyone or for nobody.
Age of population served: Layered prevention strategies that are most suitable for young children should be given special consideration. For instance, the majority of children served by ECEs are not yet eligible for vaccines. Young children may also have difficulty wearing a well-fitting mask consistently and correctly, and children under 2 years old should not wear masks. For these reasons, additional layered prevention strategies—such as encouraging vaccination among staff and others around young children, improved ventilation, cohorting, and avoiding crowded spaces—should be considered first.
Quarantine is a strategy used to prevent transmission of COVID-19 by keeping people who have been in close contact with someone with COVID-19 apart from others. Recommendations for close contacts to quarantine, wear a well-fitting mask, and get tested will vary depending on vaccination status and history of prior COVID-19 infection. Regardless of the current COVID-19 Community Level, people who have come into close contact with someone with COVID-19 should follow the recommendations outlined on the COVID-19 Quarantine and Isolation webpage. This includes in K-12 schools and ECE settings. K-12 schools may consider TTS, which can keep those who would otherwise need to quarantine in in-person learning.
For children not yet eligible for COVID-19 vaccination who cannot wear a mask, or may have difficulty consistently wearing a well-fitting mask, it is safest to quarantine for a full 10 days. For more information, see Isolation and Quarantine in Early Care and Education Programs.
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