Tuesday, July 27, 2021

The CDC's Updated (Jul 27th) Interim Public Health Recommendations for Fully Vaccinated People



How to Wear Face Cover -CDC


#16,088


A little over two months ago the CDC issued updated guidance for When You’ve Been Fully Vaccinated that essentially liberated most individuals - at least those without immune problems -  from needing to wear face masks in most indoor settings (excluding public transportation, some stores and workplaces, and in healthcare environments).

At that time, the Alpha variant was dominant, cases were declining around the nation, and loosening the `mask mandate' was viewed as both a reward to those who were fully vaccinated, and an incentive to get the jab for those who weren't.

As it turned out, things didn't go quite as planned. Vaccination rates - instead of rising - dropped off sharply, a more transmissible  Delta variant quickly supplanted the Alpha variant, and vaccine `breakthroughs' with this new COVID variant have accelerated. 

Today, following an afternoon press briefing by CDC Director Rochelle P. Walensky, MD, MPH, the CDC published new, updated, interim guidance on mask wearing which rolls back many of those earlier relaxed recommendations. 

These are recommendations, not mandates.  It remains to be seen what rules local jurisdictions may impose in the days and weeks ahead.

I've only reproduced the summary, follow the link to read the CDC guidance in its entirety.


Interim Public Health Recommendations for Fully Vaccinated People
Updated July 27, 2021
 
Summary of Recent Changes
Updates as of July 27, 2021
  • Updated information for fully vaccinated people given new evidence on the B.1.617.2 (Delta) variant currently circulating in the United States.
  • Added a recommendation for fully vaccinated people to wear a mask in public indoor settings in areas of substantial or high transmission.
  • Added information that fully vaccinated people might choose to wear a mask regardless of the level of transmission, particularly if they are immunocompromised or at increased risk for severe disease from COVID-19, or if they have someone in their household who is immunocompromised, at increased risk of severe disease or not fully vaccinated.
  • Added a recommendation for fully vaccinated people who have a known exposure to someone with suspected or confirmed COVID-19 to be tested 3-5 days after exposure, and to wear a mask in public indoor settings for 14 days or until they receive a negative test result.
  • CDC recommends universal indoor masking for all teachers, staff, students, and visitors to schools, regardless of vaccination status

View Previous Updates

Key Points

The following recommendations apply to non-healthcare settings. For related information for healthcare settings, visit Updated Healthcare Infection Prevention and Control Recommendations in Response to COVID-19 Vaccination.

Fully vaccinated people can:
  • Participate in many of the activities that they did before the pandemic; for some of these activities, they may choose to wear a mask.
  • Resume domestic travel and refrain from testing before or after travel and from self-quarantine after travel
  • Refrain from testing before leaving the United States for international travel (unless required by the destination) and refrain from self-quarantine after arriving back in the United States
  • Refrain from testing following a known exposure, if asymptomatic, with some exceptions for specific settings
  • Refrain from quarantine following a known exposure if asymptomatic
  • Refrain from routine screening testing if feasible
Infections happen in only a small proportion of people who are fully vaccinated, even with the Delta variant. However, preliminary evidence suggests that fully vaccinated people who do become infected with the Delta variant can spread the virus to others. To reduce their risk of becoming infected with the Delta variant and potentially spreading it to others: CDC recommends that fully vaccinated people:
  • Wear a mask in public indoor settings if they are in an area of substantial or high transmission,
    • Fully vaccinated people might choose to mask regardless of the level of transmission, particularly if they or someone in their household is immunocompromised or at increased risk for severe disease, or if someone in their household is unvaccinated. People who are at increased risk for severe disease include older adults and those who have certain medical conditions, such as diabetes, overweight or obesity, and heart conditions.
  • Get tested if experiencing COVID-19 symptoms.
  • Get tested 3-5 days following a known exposure to someone with suspected or confirmed COVID-19 and wear a mask in public indoor settings for 14 days after exposure or until a negative test result.
  • Isolate if they have tested positive for COVID-19 in the prior 10 days or are experiencing COVID-19 symptoms.
  • Follow any applicable federal, state, local, tribal, or territorial laws, rules, and regulations.
People who are immunocompromised should be counseled about the potential for reduced immune responses to COVID-19 vaccines and to followcurrent prevention measures (including wearing a mask, staying 6 feet apart from others they don’t live with, and avoiding crowds and poorly ventilated indoor spaces) regardless of their vaccination status to protect themselves against COVID-19 until advised otherwise by their healthcare provider.
          (Continue . . . )


Anyone who follows this blog knows this isn't an unexpected turnaround, as we've seen calls for continued masking from the WHO and the ECDC, and the reinstatement of mask requirements in some localities over the past month (see California: LA County Health Dept. Order To Reinstate Indoor Face Mask Mandate (Effective July 17th, 11:59pm).

Add in the recent, and likely continued rise of other respiratory illnesses (see MMWR Report) as people continue to mingle unmasked, and the risks for seeing `twindemic' of flu/ILI and COVID this fall increase. 

All reasons why I never stopped wearing a facemask in public even though I've been fully vaccinated since April, and have every intention to continue  to do so for the foreseeable future.